Theresa Elizabeth Petrosky, LCPC in Damariscotta, ME

Theresa Elizabeth Petrosky, LCPC is a medicare enrolled "Counselor" provider in Damariscotta, Maine. Her current practice location is 35 Miles St, Damariscotta, Maine. You can reach out to her office (for appointments etc.) via phone at (207) 563-1234.

Theresa Elizabeth Petrosky is licensed to practice in Maine (license number CC6723) 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 1275187080.

Contact Information

	Theresa Elizabeth Petrosky, LCPC
	35 Miles St, Damariscotta, ME 04543-4047
	(207) 563-1234
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Theresa Elizabeth Petrosky
Gender	Female
Speciality	Counselor
Location	35 Miles St, Damariscotta, Maine
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1275187080
Provider Enumeration Date: 07/30/2019
Last Update Date: 08/24/2022

Medicare PECOS Information:

PECOS PAC ID: 3072965375
Enrollment ID: I20240123001997

Medical Identifiers

Medical identifiers for Theresa Elizabeth Petrosky such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275187080	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	10200 (Oklahoma)	Secondary
101Y00000X	Counselor	CC6723 (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. Theresa Elizabeth Petrosky allows following entities to bill medicare on her behalf.

Entity Name	Mainehealth
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790265502 PECOS PAC ID: 7517860588 Enrollment ID: O20040701000166

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. Theresa Elizabeth Petrosky 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
Theresa Elizabeth Petrosky, LCPC 11036 Folkstone Dr # Ok, Yukon, OK 73099-8050 Ph: (405) 922-6695	Theresa Elizabeth Petrosky, LCPC 35 Miles St, Damariscotta, ME 04543-4047 Ph: (207) 563-1234

Reviews and Comments

Counselor in Damariscotta, ME

Ms. Marjorie Elaine Averill, MSW LCSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 73 Biscay Road, Damariscotta, ME 04542 Phone: 207-563-3022 Fax: 207-563-3061
Mrs. Joyce Barbara V-l Robinson, LCSW, CAS Counselor Medicare: Not Enrolled in Medicare Practice Location: 15 Belvedere Rd, Damariscotta, ME 04543 Phone: 207-563-2210 Fax: 207-563-2215
A Harriet Beeman, LPC Counselor Medicare: Medicare Enrolled Practice Location: 79 Schooner St, Damariscotta, ME 04543 Phone: 207-294-4657
John W Lord, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 73 Biscay Rd, Damariscotta, ME 04543 Phone: 207-576-4021
Nancy St Clair, Counselor Medicare: Not Enrolled in Medicare Practice Location: 73 Biscay Road, Damariscotta, ME 04543 Phone: 207-563-3022 Fax: 207-563-6146
Alijah Sheer, ATR, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 24 Miles Center Way, Damariscotta, ME 04543 Phone: 207-315-0336

Theresa Elizabeth Petrosky, LCPC - Medicare Counselor in Damariscotta, ME