Dr Thaddeus T Shattuck, MD in Lewiston, ME

Dr Thaddeus T Shattuck, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Lewiston, Maine. He went to Geisel School Of Medicine At Dartmouth and graduated in 2005 and has 19 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice St Marys Regional Medical Center, Mainehealth and his current practice location is 330 Sabattus St Ste A, Lewiston, Maine. You can reach out to his office (for appointments etc.) via phone at (207) 777-8959.

Dr Thaddeus T Shattuck is licensed to practice in Maine (license number 018527) 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 1285798447.

Contact Information

	Dr Thaddeus T Shattuck, MD
	330 Sabattus St Ste A, Lewiston, ME 04240-5553
	(207) 777-8959
	(207) 753-3093

Map and Direction

Physician's Profile

Full Name	Dr Thaddeus T Shattuck
Gender	Male
Speciality	Psychiatry
Experience	19 Years
Location	330 Sabattus St Ste A, Lewiston, Maine
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Thaddeus T Shattuck attended and graduated from Geisel School Of Medicine At Dartmouth in 2005

NPI Data:

NPI Number: 1285798447
Provider Enumeration Date: 12/21/2006
Last Update Date: 03/27/2024

Medicare PECOS Information:

PECOS PAC ID: 6305039504
Enrollment ID: I20101020000803

Medical Identifiers

Medical identifiers for Dr Thaddeus T Shattuck such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285798447	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084S0012X	Psychiatry & Neurology - Sleep Medicine	MD18527 (Maine)	Secondary
2084P0800X	Psychiatry & Neurology - Psychiatry	018527 (Maine)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Mary's Regional Medical Center	Lewiston, ME	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
St Marys Regional Medical Center	0042107120	203
Mainehealth	7517860588	2067

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. Dr Thaddeus T Shattuck allows following entities to bill medicare on his behalf.

Entity Name	St Marys Regional Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447226584 PECOS PAC ID: 0042107120 Enrollment ID: O20040303000236

Entity Name	Mainehealth
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790265502 PECOS PAC ID: 7517860588 Enrollment ID: O20040701000166

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. Dr Thaddeus T Shattuck 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
Dr Thaddeus T Shattuck, MD 165 Lancaster St, Portland, ME 04101-2406 Ph: (207) 874-1030	Dr Thaddeus T Shattuck, MD 330 Sabattus St Ste A, Lewiston, ME 04240-5553 Ph: (207) 777-8959

Reviews and Comments

Psychiatry & Neurology Doctors in Lewiston, ME

Alfonso Corona, M.D Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1155 Lisbon St, Lewiston, ME 04240 Phone: 207-783-9141
Dr. Paula Claire Kirby-long, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 76 High St Ste 300, Lewiston, ME 04240 Phone: 207-795-5544 Fax: 207-795-5645
Kimberly P Wells, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 93 Campus Ave, Lewiston, ME 04240 Phone: 207-777-8700 Fax: 207-777-8826
Dr. David A Dettmann, DO Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 100 Campus Ave, Suite 208, Lewiston, ME 04240 Phone: 207-777-8974 Fax: 207-777-8946
Dr. Luke W Ballenger Iii, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 100 Campus Ave, Suite 208, Lewiston, ME 04240 Phone: 207-777-8974 Fax: 207-777-8946
Annabel L Bradford, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 93 Campus Ave, Lewiston, ME 04240 Phone: 207-777-8700
Ira M. Shapiro, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 100 Campus Ave, Suite 208, Lewiston, ME 04240 Phone: 207-777-8974 Fax: 207-777-8946

Dr Thaddeus T Shattuck, MD - Medicare Psychiatry in Lewiston, ME