| Mr Gerald W Thibault, LCPC | |
|
157 Waterville Road, Suite 2, Skowhegan, ME 04976 | |
| (207) 474-3477 | |
| Not Available |
| Full Name | Mr Gerald W Thibault |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 157 Waterville Road, Skowhegan, Maine |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083697270 | NPI | - | NPPES |
| 274710099 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | CC1829 (Maine) | Primary |
| Entity Name | Health Affiliates Maine, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932413556 PECOS PAC ID: 1951594076 Enrollment ID: O20101021000912 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Gerald W Thibault, LCPC 27 Beech Street, Skowhegan, ME 04976 Ph: (207) 474-3477 | Mr Gerald W Thibault, LCPC 157 Waterville Road, Suite 2, Skowhegan, ME 04976 Ph: (207) 474-3477 |
Julie Kristen Randall York, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 5 Commerce Dr, Skowhegan, ME 04976 Phone: 207-873-2136 Fax: 207-660-4529 | |
Chad Parisi, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5 Commerce Dr, Skowhegan, ME 04976 Phone: 207-474-8311 Fax: 207-474-5148 | |
Maria R Noyes Paylor, LCSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 30 Leavitt St, Skowhegan, ME 04976 Phone: 207-485-6753 | |
Katlynn Beaumont, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5 Commerce Dr, Skowhegan, ME 04976 Phone: 207-474-8368 | |
Darren Ripley Sr., LADC,CCS Counselor Medicare: Not Enrolled in Medicare Practice Location: 5 Commerce Dr, Skowhegan, ME 04976 Phone: 207-474-3670 | |
Jillian Paule Roy, C-LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 30 Leavitt St, Skowhegan, ME 04976 Phone: 888-922-4736 Fax: 844-331-2315 | |
Mr. Gage James Kennedy Rosenow, LCPC-C Counselor Medicare: Not Enrolled in Medicare Practice Location: 30 Leavitt St, Skowhegan, ME 04976 Phone: 207-458-4642 |