Ryan Pelton, LCSW - Medicare Clinical Social Worker in Farmington, ME

Ryan Pelton, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Farmington, Maine. He graduated from medical school in 2013 and has 11 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Mainehealth and his current practice location is 181 Franklin Health Commons, Farmington, Maine. You can reach out to his office (for appointments etc.) via phone at (207) 778-4922.

Ryan Pelton is licensed to practice in Maine (license number LC16036) 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 1831528348.

Contact Information

Ryan Pelton, LCSW
181 Franklin Health Commons,
Farmington, ME 04938
(207) 778-4922
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameRyan Pelton
GenderMale
SpecialityClinical Social Worker
Experience11 Years
Location181 Franklin Health Commons, Farmington, Maine
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ryan Pelton graduated from medical school in 2013
  NPI Data:
  • NPI Number: 1831528348
  • Provider Enumeration Date: 11/05/2013
  • Last Update Date: 06/04/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 0244516755
  • Enrollment ID: I20170418001856

Medical Identifiers

Medical identifiers for Ryan Pelton such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1831528348NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical MC14329 (Maine)Secondary
1041C0700XSocial Worker - Clinical LC16036 (Maine)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mainehealth75178605882067

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. Ryan Pelton allows following entities to bill medicare on his behalf.
Entity NameMainehealth
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790265502
PECOS PAC ID: 7517860588
Enrollment ID: O20040701000166
Entity NameTri-county Mental Health Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215979158
PECOS PAC ID: 6103800131
Enrollment ID: O20040707000723

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. Ryan Pelton 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 AddressPractice Location Address
Ryan Pelton, LCSW
181 Franklin Health Commons,
Farmington, ME 04938-1946

Ph: () -
Ryan Pelton, LCSW
181 Franklin Health Commons,
Farmington, ME 04938

Ph: (207) 778-4922

Reviews and Comments


Social Worker in Farmington, ME

Kathleen Harvey, LCSW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 115 Mt Blue Cir, Farmington, ME 04938
Phone: 207-660-4549    Fax: 207-660-4529
Ms. Cynthia Allen Thomas, LCSW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 454 Fairbanks Rd, Farmington, ME 04938
Phone: 207-491-0100    
Ms. Dalene Elizabeth Sinskie, LCSW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 124 Main St Ste 202, Farmington, ME 04938
Phone: 207-491-6648    
Mrs. Carole Walker Trickett, MSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 162 Perham St, Farmington, ME 04938
Phone: 207-778-4329    
Angela M Thompson, LCSW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 144 High Street, Ste 1, Farmington, ME 04938
Phone: 207-778-3556    Fax: 207-778-3558
Sheila Hoyt, LCSW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 131 Franklin Health Commons, Suite A, Farmington, ME 04938
Phone: 207-778-0035    Fax: 207-778-6879
Kim Marie Lane, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 144 High St, Farmington, ME 04938
Phone: 207-778-0521    

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.