Thadius Hannington-berube, LCPC-C in Bangor, ME

Thadius Hannington-berube, LCPC-C is a medicare enrolled "Counselor - Mental Health" provider in Bangor, Maine. His current practice location is 77 Broadway, Bangor, Maine. You can reach out to his office (for appointments etc.) via phone at (207) 956-5977.

Thadius Hannington-berube is licensed to practice in Maine (license number XL5454) 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 1538749692.

Contact Information

	Thadius Hannington-berube, LCPC-C
	77 Broadway, Bangor, ME 04401-5203
	(207) 956-5977
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Thadius Hannington-berube
Gender	Male
Speciality	Counselor - Mental Health
Location	77 Broadway, Bangor, Maine
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1538749692
Provider Enumeration Date: 04/13/2021
Last Update Date: 08/08/2022

Medicare PECOS Information:

PECOS PAC ID: 3375996705
Enrollment ID: I20240201000594

Medical Identifiers

Medical identifiers for Thadius Hannington-berube such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538749692	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	XL5454 (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. Thadius Hannington-berube allows following entities to bill medicare on his behalf.

Entity Name	Stonycreek Psychotherapy And Wellness Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922612936 PECOS PAC ID: 4688027170 Enrollment ID: O20240131004135

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. Thadius Hannington-berube 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
Thadius Hannington-berube, LCPC-C 77 Broadway, Bangor, ME 04401-5203 Ph: (207) 956-5977	Thadius Hannington-berube, LCPC-C 77 Broadway, Bangor, ME 04401-5203 Ph: (207) 956-5977

Reviews and Comments

Counselor in Bangor, ME

Joan Reinholdtsen, Counselor Medicare: Medicare Enrolled Practice Location: 157 Park St, Bangor, ME 04401 Phone: 207-992-0410
Emily A Goode, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 86 Davis Rd, Bangor, ME 04401 Phone: 207-992-2205 Fax: 207-992-2207
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Melissa Leary, ADCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 689 Odlin Rd, Bangor, ME 04401 Phone: 207-947-6800
Mrs. Debbie Lynn Webber, MED, LCPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 24 Springer Road, 1 Springer Place Suite 202, Bangor, ME 04401 Phone: 207-992-2535 Fax: 207-992-2539
Nicholas Jon Pelkey, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 96 Harlow St, Suite 360, Bangor, ME 04401 Phone: 207-945-9777 Fax: 207-945-9780
Amanda Elliott, ADCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 689 Odlin Rd Ste 1, Bangor, ME 04401 Phone: 207-947-6800

Thadius Hannington-berube, LCPC-C - Medicare Counselor in Bangor, ME