Mollie Caitlin Gunnoe, LCSW, LADC is a medicare enrolled "Social Worker - Clinical" provider in Portland, Maine. Her current practice location is
22 Bramhall St, Portland, Maine. You can reach out to her office (for appointments etc.) via phone at
(207) 662-4807.
Mollie Caitlin Gunnoe is licensed to practice in Maine (license number LC20774) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1528577301.
Healthcare Provider's Profile
Full Name | Mollie Caitlin Gunnoe |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 22 Bramhall St, Portland, Maine |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1528577301
- Provider Enumeration Date: 09/25/2017
- Last Update Date: 04/05/2023
Medicare PECOS Information:
- PECOS PAC ID: 0648635524
- Enrollment ID: I20230427002355
Medical Identifiers
Medical identifiers for Mollie Caitlin Gunnoe such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1528577301 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | SC60864092 (Washington) | Secondary |
101YA0400X | Counselor - Addiction (substance Use Disorder) | LC8055 (Maine) | Secondary |
1041C0700X | Social Worker - Clinical | LW61196449 (Washington) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | LC20774 (Maine) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mollie Caitlin Gunnoe allows following entities to bill medicare on her behalf.
Entity Name | Mainehealth |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1790265502 PECOS PAC ID: 7517860588 Enrollment ID: O20040701000166 |
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Entity Name | Spurwink Services Incorporated |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1760507297 PECOS PAC ID: 7810026945 Enrollment ID: O20100527000272 |
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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. Mollie Caitlin Gunnoe is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mollie Caitlin Gunnoe, LCSW, LADC 22 Bramhall St, Portland, ME 04102-3175 Ph: () - | Mollie Caitlin Gunnoe, LCSW, LADC 22 Bramhall St, Portland, ME 04102-3175 Ph: (207) 662-4807 |
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