Mr Keith A Plouffe, LCPC - Medicare Counselor in Winthrop, ME

Mr Keith A Plouffe, LCPC is a medicare enrolled "Counselor - Professional" provider in Winthrop, Maine. His current practice location is 736 Old Lewiston Rd, Winthrop, Maine. You can reach out to his office (for appointments etc.) via phone at (207) 377-4121.

Mr Keith A Plouffe is licensed to practice in Maine (license number CC4387) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1124372909.

Contact Information

Mr Keith A Plouffe, LCPC
736 Old Lewiston Rd,
Winthrop, ME 04364-4121
(207) 377-4121
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameMr Keith A Plouffe
GenderMale
SpecialityCounselor - Professional
Location736 Old Lewiston Rd, Winthrop, Maine
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1124372909
  • Provider Enumeration Date: 11/01/2012
  • Last Update Date: 12/11/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4981054590
  • Enrollment ID: I20240213000089

Medical Identifiers

Medical identifiers for Mr Keith A Plouffe such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124372909NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YP2500XCounselor - Professional CC4387 (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. Mr Keith A Plouffe allows following entities to bill medicare on his behalf.
Entity NameKennebec Valley Mental Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679504864
PECOS PAC ID: 7113829383
Enrollment ID: O20040127000419

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. Mr Keith A Plouffe 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 AddressPractice Location Address
Mr Keith A Plouffe, LCPC
736 Old Lewiston Rd,
Winthrop, ME 04364-4121

Ph: (207) 377-8122
Mr Keith A Plouffe, LCPC
736 Old Lewiston Rd,
Winthrop, ME 04364-4121

Ph: (207) 377-4121

Reviews and Comments


Counselor in Winthrop, ME

Elezya A Brookins,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 24 Guerette Rd, Winthrop, ME 04364
Phone: 817-933-2099    
Mr. Benjamin Willard Skillings,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 96 Route 133, Winthrop, ME 04364
Phone: 207-749-9070    
Veronica Lynn Dyer, LADC, CCS
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 362 Route 133, Winthrop, ME 04364
Phone: 207-242-6458    Fax: 207-203-6222

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.