Peter J Fuller, LCSW, LADC - Medicare Counselor in Springvale, ME

Peter J Fuller, LCSW, LADC is a medicare enrolled "Social Worker - Clinical" provider in Springvale, Maine. His current practice location is 474 Main St, Springvale, Maine. You can reach out to his office (for appointments etc.) via phone at (207) 324-1500.

Peter J Fuller is licensed to practice in Maine (license number LC4929) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1659652022.

Contact Information

Peter J Fuller, LCSW, LADC
474 Main St,
Springvale, ME 04083-1409
(207) 324-1500
(207) 490-5263

Map and Direction

Healthcare Provider's Profile

Full NamePeter J Fuller
SpecialitySocial Worker - Clinical
Location474 Main St, Springvale, Maine
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1659652022
  • Provider Enumeration Date: 08/30/2011
  • Last Update Date: 06/22/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 2567634777
  • Enrollment ID: I20111012000659

Medical Identifiers

Medical identifiers for Peter J Fuller such as npi, medicare ID, medicare PIN, medicaid, etc.

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) LC4294 (Maine)Secondary
1041C0700XSocial Worker - Clinical LC4929 (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. Peter J Fuller allows following entities to bill medicare on his behalf.
Entity NameMaine Behavioral Healthcare
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598798787
PECOS PAC ID: 1153220132
Enrollment ID: O20040108000373
Entity NameMainehealth
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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. Peter J Fuller 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
Peter J Fuller, LCSW, LADC
78 Atlantic Place,
South Portland, ME 04106-2316

Ph: (207) 661-6654
Peter J Fuller, LCSW, LADC
474 Main St,
Springvale, ME 04083-1409

Ph: (207) 324-1500

Reviews and Comments

Social Worker in Springvale, ME

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 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.