Shannon E Pettit, LCSW, CADC, CCS is a medicare enrolled "Social Worker - Clinical" provider in Bangor, Maine. Her current practice location is
68 Mount Hope Ave, Bangor, Maine. You can reach out to her office (for appointments etc.) via phone at
(207) 949-3270.
Shannon E Pettit is licensed to practice in Maine (license number LC13000) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1649474156.
Healthcare Provider's Profile
| Full Name | Shannon E Pettit |
|---|
| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 68 Mount Hope Ave, Bangor, Maine |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Shannon E Pettit attended and graduated from in
NPI Data:
- NPI Number: 1649474156
- Provider Enumeration Date: 06/11/2007
- Last Update Date: 12/20/2023
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Shannon E Pettit such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1649474156 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CAC4201 (Maine) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CCS8417 (Maine) | Secondary |
| 1041C0700X | Social Worker - Clinical | LC13000 (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. Shannon E Pettit 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 |
|---|
Shannon E Pettit, LCSW, CADC, CCS
57 Penobscot Ave,
Millinocket, ME 04462-1320
Ph: (207) 949-3270 | Shannon E Pettit, LCSW, CADC, CCS
68 Mount Hope Ave,
Bangor, ME 04401-4096
Ph: (207) 949-3270 |
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