| Dwayne Hogan, LCSW | |
|
50 Moody St, Saco, ME 04072-1536 | |
| (207) 294-4657 | |
| Not Available |
| Full Name | Dwayne Hogan |
|---|---|
| Gender | Male |
| Speciality | Clinical Social Worker |
| Experience | 25 Years |
| Location | 50 Moody St, Saco, 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699783050 | NPI | - | NPPES |
| 431482699 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LC7667 (Maine) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sweetser | 8325946213 | 126 |
| Entity Name | Sweetser |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538122445 PECOS PAC ID: 8325946213 Enrollment ID: O20040311001107 |
| Mailing Address | Practice Location Address |
|---|---|
| Dwayne Hogan, LCSW 96 Harlow St, Box 341, Bangor, ME 04401-4925 Ph: () - | Dwayne Hogan, LCSW 50 Moody St, Saco, ME 04072-1536 Ph: (207) 294-4657 |
Susan L Wiley, LMSW-CC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 199 Main St, Saco, ME 04072 Phone: 207-571-3008 Fax: 207-571-3263 | |
Mitchell I. Markowitz, MC9640 Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 50 Moody St, Saco, ME 04072 Phone: 207-294-4657 | |
Allison Krzanowski, LMSW-CC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 13 Park St, Saco, ME 04072 Phone: 603-969-5233 | |
Susan Paris, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 50 Moody St, Saco, ME 04072 Phone: 207-294-4657 Fax: 207-294-4649 | |
Allison M Carrier, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 50 Moody St, Saco, ME 04072 Phone: 800-434-3000 | |
Caitlin M Nolting, LMSW-CC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 50 Moody St, Saco, ME 04072 Phone: 800-434-3000 Fax: 207-294-4649 | |
Gabrielle E Sawyer, LMSW-CC Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 50 Moody St, Saco, ME 04072 Phone: 800-434-3000 Fax: 207-294-4649 |