Marissa Dodge, LADC, CCS is a
Counselor - Addiction (substance Use Disorder) based in Poland, Maine. Marissa Dodge is licensed to practice in Maine (license number CCS8524) and her current practice location is
9 Sunderland Rd, Poland, Maine. She can be reached at her office (for appointments etc.) via phone at
(207) 522-9608.
NPI number for Marissa Dodge is 1396502720 and her current mailing address is 9 Sunderland Rd, Poland, Maine. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1396502720.
Healthcare Provider's Profile
Full Name | Marissa Dodge |
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Gender | Female |
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Speciality | Counselor - Addiction (substance Use Disorder) |
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Location | 9 Sunderland Rd, Poland, Maine |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1396502720
- Provider Enumeration Date: 03/04/2024
- Last Update Date: 03/04/2024
Medical Identifiers
Medical identifiers for Marissa Dodge such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1396502720 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | LC7702 (Maine) | Secondary |
101YA0400X | Counselor - Addiction (substance Use Disorder) | CCS8524 (Maine) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Marissa Dodge is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Marissa Dodge, LADC, CCS 9 Sunderland Rd, Poland, ME 04274-7500 Ph: (207) 522-9608 | Marissa Dodge, LADC, CCS 9 Sunderland Rd, Poland, ME 04274-7500 Ph: (207) 522-9608 |
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