Thomas A Coffin, LCSW, LADC is a medicare enrolled "Social Worker - Clinical" provider in Portland, Maine. He graduated from healthcare school in 2004 and has 20 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Community Clinical Services Inc and his current practice location is
302 Stevens Ave, Portland, Maine. You can reach out to his office (for appointments etc.) via phone at
(207) 865-0443.
Thomas A Coffin is licensed to practice in Maine (license number LC10734) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1942495106.
Healthcare Provider's Profile
| Full Name | Thomas A Coffin |
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| Gender | Male |
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| Speciality | Clinical Social Worker |
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| Experience | 20 Years |
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| Location | 302 Stevens Ave, Portland, Maine |
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| Accepts Medicare Assignments | Yes. He 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:
- Thomas A Coffin graduated from medical school in 2004
NPI Data:
- NPI Number: 1942495106
- Provider Enumeration Date: 09/11/2007
- Last Update Date: 09/11/2007
Medicare PECOS Information:
- PECOS PAC ID: 6709923287
- Enrollment ID: I20091103000156
Medical Identifiers
Medical identifiers for Thomas A Coffin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1942495106 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LC3739 (Maine) | Secondary |
| 1041C0700X | Social Worker - Clinical | LC10734 (Maine) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Community Clinical Services Inc | 0042101099 | 33 |
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. Thomas A Coffin allows following entities to bill medicare on his behalf.
| Entity Name | Community Clinical Services Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1164477568
PECOS PAC ID: 0042101099
Enrollment ID: O20040513000884 |
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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. Thomas A Coffin 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 |
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Thomas A Coffin, LCSW, LADC
Po Box 164,
Freeport, ME 04032-0164
Ph: (207) 865-0443 | Thomas A Coffin, LCSW, LADC
302 Stevens Ave,
Portland, ME 04103-2628
Ph: (207) 865-0443 |
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