Holly Zack, PHD in Augusta, ME - Medicare Psychologist Provider

Holly Zack, PHD is a medicare enrolled "Psychologist" provider in Augusta, Maine. Her current practice location is 66 Stone St, Augusta, Maine. You can reach out to her office (for appointments etc.) via phone at (207) 626-3455.

Holly Zack is licensed to practice in Maine (license number PS1166) 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 1447303904.

Contact Information

	Holly Zack, PHD
	66 Stone St, Augusta, ME 04330-5227
	(207) 626-3455
	(207) 626-3612

Map and Direction

Healthcare Provider's Profile

Full Name	Holly Zack
Gender	Female
Speciality	Psychologist
Location	66 Stone St, Augusta, Maine
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1447303904
Provider Enumeration Date: 01/19/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 5890898977
Enrollment ID: I20070309000306

Medical Identifiers

Medical identifiers for Holly Zack such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447303904	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	PS1166 (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. Holly Zack allows following entities to bill medicare on her behalf.

Entity Name	Kennebec Valley Mental Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679504864 PECOS PAC ID: 7113829383 Enrollment ID: O20040127000419

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. Holly Zack 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
Holly Zack, PHD 66 Stone St, Augusta, ME 04330-5227 Ph: (207) 626-3455	Holly Zack, PHD 66 Stone St, Augusta, ME 04330-5227 Ph: (207) 626-3455

Reviews and Comments

Psychologist in Augusta, ME

Dr. Teresa M Mayo, M.ED, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 250 Arsenal St, 11 Shs, Augusta, ME 04333 Phone: 207-624-4664 Fax: 207-287-6123
Dr. Martin Plant Morthland, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1 Va Center, Augusta, ME 04330 Phone: 207-623-5792
Dr. Callie Rose Teufert, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1 Va Ctr, Augusta, ME 04330 Phone: 570-618-0327
Dr. Scott Wilson Hoch, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 74 Winthrop St, Augusta, ME 04330 Phone: 207-626-3378
Dr. Audrey Gill Johnson, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1 Va Ctr, Augusta, ME 04330 Phone: 207-623-8411
Dr. Helen R Smart-perille, PSY.D. Psychologist Medicare: Medicare Enrolled Practice Location: 1 Va Ctr # 116b, Augusta, ME 04330 Phone: 207-623-8411
Karen Kohlhepp Mosher, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 66 Stone St, Augusta, ME 04330 Phone: 207-626-3455 Fax: 207-626-3612

Holly Zack, PHD - Medicare Psychologist in Augusta, ME