| Mmc Department Of Psychiatry | |
|
25 June St Sanford ME 04073-2621 | |
| (207) 283-7460 | |
| (207) 662-6234 |
| Full Name | Mmc Department Of Psychiatry |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 25 June St, Sanford, Maine |
| Authorized Official Name and Position | Lugene Anthony Inzana (CFO & ASSOCIATE CFO) |
| Authorized Official Contact | 2076623538 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mmc Department Of Psychiatry 22 Bramhall St Attn Cashiers Office Portland ME 04102-3134 Ph: (207) 662-6562 | Mmc Department Of Psychiatry 25 June St Sanford ME 04073-2621 Ph: (207) 283-7460 |
| NPI Number | 1811917222 |
|---|---|
| Provider Enumeration Date | 07/20/2006 |
| Last Update Date | 08/28/2024 |
| Certification Date | 08/28/2024 |
| Medicare PECOS PAC ID | 7517860588 |
|---|---|
| Medicare Enrollment ID | O20080619000586 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811917222 | NPI | - | NPPES |
| 102500000 | Medicaid | ME | |
| 200009000025 | Other | ME | ANTHEM BLUE CROSS PROV # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 36236 (Maine) | Primary |
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Synapse, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 308 Grammar Rd, Sanford, ME 04073 Phone: 207-449-5517 | |
Joyful Counseling Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 883 Main St Ste 1, Sanford, ME 04073 Phone: 207-206-0425 | |
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