Community Clinical Services, Inc. - Medicare Primary Care in Lewiston, ME

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Community Clinical Services, Inc. is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Lewiston, Maine. The current practice location for Community Clinical Services, Inc. is 57 Birch St Ste 102, Lewiston, Maine. For appointments, you can reach them via phone at (207) 753-5400. The mailing address for Community Clinical Services, Inc. is Po Box 95000 Lbx 7660, Philadelphia, Pennsylvania and phone number is (207) 777-8202.

Community Clinical Services, Inc. is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1164477568. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (207) 753-5400.

Contact Information

Community Clinical Services, Inc.
57 Birch St Ste 102
Lewiston
ME 04240-7415
(207) 753-5400
(207) 786-0489

Map and Direction


Primary Care Clinic Profile

Full NameCommunity Clinical Services, Inc.
SpecialityClinic/Center
Location57 Birch St Ste 102, Lewiston, Maine
Authorized Official Name and PositionColeen L Elias (CEO/CFO)
Authorized Official Contact2075133897
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Community Clinical Services, Inc.
Po Box 95000 Lbx 7660
Philadelphia
PA 19195-0001

Ph: (207) 777-8202		Community Clinical Services, Inc.
57 Birch St Ste 102
Lewiston
ME 04240-7415

Ph: (207) 753-5400

NPI Details:

NPI Number1164477568
Provider Enumeration Date05/23/2006
Last Update Date10/22/2020

Medicare PECOS Information:

Medicare PECOS PAC ID0042101099
Medicare Enrollment IDO20040513000884

Medical Identifiers

Medical identifiers for Community Clinical Services, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164477568NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Secondary
207R00000XInternal Medicine (* (Not Available))Secondary
207RE0101XInternal Medicine - Endocrinology, Diabetes & Metabolism (* (Not Available))Secondary
207RG0300XInternal Medicine - Geriatric Medicine (* (Not Available))Secondary
207V00000XObstetrics & Gynecology (* (Not Available))Secondary
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) (Maine)Secondary
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Community Clinical Services, Inc. acts as a billing entity for following providers:
Provider NameMichael Edward Kelley
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1265464804
PECOS PAC ID: 7113829029
Enrollment ID: I20040122000177
Provider NameLinda Smith
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1194880922
PECOS PAC ID: 9335030071
Enrollment ID: I20040323000489
Provider NameAbhay Singh
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1245264654
PECOS PAC ID: 8628055134
Enrollment ID: I20040702000102
Provider NameJennifer Mogul
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1801952718
PECOS PAC ID: 4981667581
Enrollment ID: I20041104001004
Provider NameDarleen Miller
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1285658997
PECOS PAC ID: 4183666795
Enrollment ID: I20050524000980
Provider NameRichard K Kappelmann
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1407881121
PECOS PAC ID: 8325082985
Enrollment ID: I20050614001132
Provider NameColin S Pope
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1770649642
PECOS PAC ID: 2961447271
Enrollment ID: I20050627000627
Provider NameRobert W Berks
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124177522
PECOS PAC ID: 4082642483
Enrollment ID: I20050727000829
Provider NameScott W Treworgy
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1225145006
PECOS PAC ID: 3577594472
Enrollment ID: I20050830000458
Provider NameDouglas G Smith
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1619991320
PECOS PAC ID: 3971538141
Enrollment ID: I20050927001232
Provider NameAlison L Lindquist
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1205897386
PECOS PAC ID: 3173540184
Enrollment ID: I20051028000811
Provider NameSusan L Chase
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346349180
PECOS PAC ID: 4183616873
Enrollment ID: I20060120000660
Provider NameMark D Shaughnessy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104880350
PECOS PAC ID: 9739138728
Enrollment ID: I20060424000348
Provider NameSally A Cooper
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1013070580
PECOS PAC ID: 8628070950
Enrollment ID: I20070215000218
Provider NameKevin Kavookjian
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1235301706
PECOS PAC ID: 2466528641
Enrollment ID: I20080912000180
Provider NameDavid E Schenk
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1881701670
PECOS PAC ID: 0840353462
Enrollment ID: I20090108000243
Provider NameJean M Dowling
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932163599
PECOS PAC ID: 0547317604
Enrollment ID: I20090408000128
Provider NameSarah K Adams
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891933677
PECOS PAC ID: 0941358196
Enrollment ID: I20090428000454
Provider NameVeronica L Diamond
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841424207
PECOS PAC ID: 3678627189
Enrollment ID: I20090818000782
Provider NameThomas A Coffin
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1942495106
PECOS PAC ID: 6709923287
Enrollment ID: I20091103000156
Provider NameJessica C Pulkkinen
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1366689077
PECOS PAC ID: 1052443579
Enrollment ID: I20100720000262
Provider NameJane Hersey
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1023067469
PECOS PAC ID: 6507980505
Enrollment ID: I20100827000342
Provider NameJennifer M Oconnor
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861678781
PECOS PAC ID: 0143345611
Enrollment ID: I20100921000791
Provider NameJohn C Libby
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1861645244
PECOS PAC ID: 6204952674
Enrollment ID: I20100923000655
Provider NameKristy M Gelinas
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1518281302
PECOS PAC ID: 9234322447
Enrollment ID: I20101026000110
Provider NameAndie Wishman
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1295059962
PECOS PAC ID: 9436346400
Enrollment ID: I20101203000604
Provider NameHannah-mariah W Severns
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083802391
PECOS PAC ID: 5991845604
Enrollment ID: I20110512000364
Provider NameLisa R Morin
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1306178199
PECOS PAC ID: 5092980441
Enrollment ID: I20111213000534
Provider NameDonna M Martinez
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1801187182
PECOS PAC ID: 1850553959
Enrollment ID: I20120508000131
Provider NameCarolyn M Mcnamara
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366792764
PECOS PAC ID: 6709038656
Enrollment ID: I20121129000107
Provider NameJordan A Albair
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093061418
PECOS PAC ID: 3678725298
Enrollment ID: I20121206000076
Provider NameDylan M Mckenney
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1922233071
PECOS PAC ID: 3870738529
Enrollment ID: I20130328000386
Provider NameJeffrey Larue
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437490224
PECOS PAC ID: 6800033341
Enrollment ID: I20130501000057
Provider NameDonna M Isherwood
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962743633
PECOS PAC ID: 6305083296
Enrollment ID: I20130514000064
Provider NameJesica L Todd-brown
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1568700151
PECOS PAC ID: 4284872045
Enrollment ID: I20130606000274
Provider NameDaniel M Strauss
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467709527
PECOS PAC ID: 4183874258
Enrollment ID: I20130809000452
Provider NameKathryn L Landry Gradwell
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1033444047
PECOS PAC ID: 1254555188
Enrollment ID: I20140617000413
Provider NameStephanie M Mellen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679989222
PECOS PAC ID: 2365669397
Enrollment ID: I20140814000886
Provider NameKimberly Pirrone Wells
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1063648111
PECOS PAC ID: 6507007010
Enrollment ID: I20140815000005
Provider NameNoreen M Flanagan
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1508186594
PECOS PAC ID: 1850525635
Enrollment ID: I20141001002099
Provider NameStacey M Labonte
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831506872
PECOS PAC ID: 4284854621
Enrollment ID: I20141007000066
Provider NameRegis M Porter
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1689081101
PECOS PAC ID: 3173743531
Enrollment ID: I20141007000510
Provider NameTiffany M Martinez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063813962
PECOS PAC ID: 0345461497
Enrollment ID: I20141015000863
Provider NameAdrienne E Lucey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912316753
PECOS PAC ID: 3971724576
Enrollment ID: I20141024000082
Provider NameKathryn A Leonard
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1073930442
PECOS PAC ID: 2567786684
Enrollment ID: I20150121000539
Provider NameElizabeth M Richards
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1306242490
PECOS PAC ID: 0345564480
Enrollment ID: I20150121001219
Provider NameSavannah C Kirchner
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1467888024
PECOS PAC ID: 4486958410
Enrollment ID: I20160211000303
Provider NameDonna C Doucette
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316490394
PECOS PAC ID: 8325334857
Enrollment ID: I20160909001714
Provider NameAndrea M Carr
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700236742
PECOS PAC ID: 8628357654
Enrollment ID: I20161116000505
Provider NameAriane E Bowie
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1457787590
PECOS PAC ID: 7911284005
Enrollment ID: I20170427000342
Provider NameMegan A Brewer
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1972949741
PECOS PAC ID: 5496997660
Enrollment ID: I20170811000503
Provider NameMonica Daigle
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1780944488
PECOS PAC ID: 6608000526
Enrollment ID: I20170831001668
Provider NameBonnie M Lemieux
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073061321
PECOS PAC ID: 8729341300
Enrollment ID: I20180412001217
Provider NameSarah Michelle Jones
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831637271
PECOS PAC ID: 4486921913
Enrollment ID: I20180601000244
Provider NameAndrew Hilty
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1568846236
PECOS PAC ID: 0547560138
Enrollment ID: I20180723002423
Provider NameValerie Porcello
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1942722723
PECOS PAC ID: 2769758390
Enrollment ID: I20180806001050
Provider NameDavid J. Wright
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073009908
PECOS PAC ID: 2860741386
Enrollment ID: I20180816002337
Provider NameTerry L Mooers
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437645363
PECOS PAC ID: 6204185457
Enrollment ID: I20180821001855
Provider NameKatie Elizabeth Rhein
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1255809380
PECOS PAC ID: 6305190786
Enrollment ID: I20181121002338
Provider NameAnnabel L Bradford
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1215324694
PECOS PAC ID: 1355655572
Enrollment ID: I20190605000427
Provider NamePhyllis Wolf Wilkins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356802540
PECOS PAC ID: 8527397306
Enrollment ID: I20190903002728
Provider NameEllen R. P. Culberson
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1275057309
PECOS PAC ID: 0648500728
Enrollment ID: I20191003000443
Provider NameJillbeth V Sweeney
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861968380
PECOS PAC ID: 4486987088
Enrollment ID: I20191113001712
Provider NameVolha A Grant
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013548650
PECOS PAC ID: 6507294394
Enrollment ID: I20200309002275
Provider NameKatherine Jeniffer Dawkins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306303813
PECOS PAC ID: 8426390311
Enrollment ID: I20201015002116
Provider NameAlyssa K Rouleau
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538778972
PECOS PAC ID: 1850701798
Enrollment ID: I20201105000327
Provider NamePeter Lindblom
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1831667302
PECOS PAC ID: 4486069838
Enrollment ID: I20210216002719
Provider NameKendra Anne Greene
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1043882772
PECOS PAC ID: 5991100497
Enrollment ID: I20210821000271
Provider NamePaula Gentile
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952071656
PECOS PAC ID: 2466859251
Enrollment ID: I20210921002576
Provider NameHeather Lynn Errington
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487231932
PECOS PAC ID: 8921496076
Enrollment ID: I20211022001652
Provider NameRachel E Goulet
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174288740
PECOS PAC ID: 4789073396
Enrollment ID: I20211118003034
Provider NameFelicia Erin Farnham
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1477028488
PECOS PAC ID: 1850785478
Enrollment ID: I20220224002515
Provider NameKorynne E French
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1316184773
PECOS PAC ID: 0840687950
Enrollment ID: I20220420000392
Provider NameElizabeth Pauline Hurd
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548989973
PECOS PAC ID: 1153797873
Enrollment ID: I20221021000458
Provider NameSamuel C Larouche
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1497392500
PECOS PAC ID: 7113391889
Enrollment ID: I20230320001959
Provider NameCasey-lyn Iris Knight
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1063080240
PECOS PAC ID: 8820458391
Enrollment ID: I20230714003247
Provider NameRachel Ivanov
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053916379
PECOS PAC ID: 1355741745
Enrollment ID: I20230719001453
Provider NameCurran J Lecomte
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912687492
PECOS PAC ID: 5698129450
Enrollment ID: I20230927002236
Provider NameSherie Daigle
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1386217651
PECOS PAC ID: 2163879438
Enrollment ID: I20231108000386
Provider NameJesse Daniel Audet
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1245872001
PECOS PAC ID: 6103274121
Enrollment ID: I20231130002263
Provider NameHeather Ann Khansari Nejad
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164296505
PECOS PAC ID: 0941659940
Enrollment ID: I20231215003379
Provider NameAmy Lee
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760261010
PECOS PAC ID: 5294185799
Enrollment ID: I20231226000720
Provider NameAshley Beaulieu
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1023490638
PECOS PAC ID: 8224459029
Enrollment ID: I20240105000161
Provider NameMorgan Kay Evans Suta
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518747906
PECOS PAC ID: 7810348562
Enrollment ID: I20240108003871
Provider NameJacob Elie
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306624374
PECOS PAC ID: 2365885563
Enrollment ID: I20240205002130
Provider NameTanya Zaldumbide
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1396142634
PECOS PAC ID: 6103265335
Enrollment ID: I20240419002279
Provider NameKaitlin Rose Stalling
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1457782187
PECOS PAC ID: 9133560311
Enrollment ID: I20240520000508
Provider NameMary Cronin-finn
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1649220492
PECOS PAC ID: 1153763560
Enrollment ID: I20240530000482

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.