Thomas P Riddell, LCPC | |
50 Moody St, Saco, ME 04072-1536 | |
(800) 434-3000 | |
Not Available |
Full Name | Thomas P Riddell |
---|---|
Gender | Male |
Speciality | Counselor - Professional |
Location | 50 Moody St, Saco, Maine |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073829230 | NPI | - | NPPES |
265200099 | Medicaid | ME |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | CC1974 (Maine) | Primary |
Entity Name | Port Resources |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053467779 PECOS PAC ID: 5496078206 Enrollment ID: O20150102000068 |
Mailing Address | Practice Location Address |
---|---|
Thomas P Riddell, LCPC 50 Moody St, Saco, ME 04072-1536 Ph: (800) 434-3000 | Thomas P Riddell, LCPC 50 Moody St, Saco, ME 04072-1536 Ph: (800) 434-3000 |
Megan R Lancaster, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 110 Main St, Saco, ME 04072 Phone: 617-447-3168 | |
Linda Reed, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 50 Moody St, Saco, ME 04072 Phone: 207-294-4657 | |
Mrs. Kristina Mont, LCPC, NCC Counselor Medicare: Medicare Enrolled Practice Location: 50 Moody St, Saco, ME 04072 Phone: 207-434-3000 | |
Lauren Mackellar, Counselor Medicare: Not Enrolled in Medicare Practice Location: 110 Main St Ste 1306d, Saco, ME 04072 Phone: 207-216-2637 | |
Mrs. Priscille Anne Dixon, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 50 Moody St, Saco, ME 04072 Phone: 800-434-3000 | |
Lynn M Tijssen, LCPC,LADC,ACS Counselor Medicare: Not Enrolled in Medicare Practice Location: 50 Moody St, Saco, ME 04072 Phone: 207-233-4174 |