Tyler Connolly, LCPC in Portland, ME - Medicare Counselor Provider

Tyler Connolly, LCPC is a medicare enrolled "Counselor - Professional" provider in Portland, Maine. His current practice location is 165 Lancaster St, Portland, Maine. You can reach out to his office (for appointments etc.) via phone at (260) 318-4422.

Tyler Connolly is licensed to practice in Maine (license number CC6615) 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 1154951564.

Contact Information

	Tyler Connolly, LCPC
	165 Lancaster St, Portland, ME 04101-2406
	(260) 318-4422
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Tyler Connolly
Gender	Male
Speciality	Counselor - Professional
Location	165 Lancaster St, Portland, Maine
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154951564
Provider Enumeration Date: 01/24/2020
Last Update Date: 08/16/2022

Medicare PECOS Information:

PECOS PAC ID: 0042662009
Enrollment ID: I20240116002117

Medical Identifiers

Medical identifiers for Tyler Connolly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154951564	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	CC6615 (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. Tyler Connolly allows following entities to bill medicare on his behalf.

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

Entity Name	Thrive Counseling Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215181300 PECOS PAC ID: 0749458420 Enrollment ID: O20210810001114

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. Tyler Connolly 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
Tyler Connolly, LCPC 165 Lancaster St, Portland, ME 04101-2406 Ph: () -	Tyler Connolly, LCPC 165 Lancaster St, Portland, ME 04101-2406 Ph: (260) 318-4422

Reviews and Comments

Counselor in Portland, ME

Maria A Moustrouphis, LCSW, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 77 Vermont Ave, Portland, ME 04103 Phone: 207-409-9487
Katherine P Whittemore, LCPC-C Counselor Medicare: Not Enrolled in Medicare Practice Location: 1050 Forest Ave, Portland, ME 04103 Phone: 207-242-0443
Scott W. Hutcherson, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 165 Lancaster St, Portland, ME 04101 Phone: 207-874-1030 Fax: 207-874-1044
Emily-anne Garland, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 576 Saint John St, Portland, ME 04102 Phone: 207-780-0020 Fax: 207-780-0022
Michael H Freeman, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 250 Anderson St, Portland, ME 04101 Phone: 207-775-5671 Fax: 207-871-1243
David R Arnold, LCPC-C Counselor Medicare: Not Enrolled in Medicare Practice Location: 44 Exchange St, Portland, ME 04101 Phone: 207-209-5067
Rani Wilson, LCPC-CC Counselor Medicare: Not Enrolled in Medicare Practice Location: 901 Washington Ave Ste 100, Portland, ME 04103 Phone: 207-871-1200 Fax: 207-871-1232

Tyler Connolly, LCPC - Medicare Counselor in Portland, ME