Wallace J Fraser Jr, LCPC in Hampden, ME - Medicare Counselor Provider

Wallace J Fraser Jr, LCPC is a medicare enrolled "Counselor - Mental Health" provider in Hampden, Maine. His current practice location is 27 Wilbur Dr, Hampden, Maine. You can reach out to his office (for appointments etc.) via phone at (207) 735-7136.

Wallace J Fraser Jr is licensed to practice in Maine (license number CC3848) 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 1578790499.

Contact Information

	Wallace J Fraser Jr, LCPC
	27 Wilbur Dr, Hampden, ME 04444-1420
	(207) 735-7136
	(207) 433-1462

Map and Direction

Healthcare Provider's Profile

Full Name	Wallace J Fraser Jr
Gender	Male
Speciality	Counselor - Mental Health
Location	27 Wilbur Dr, Hampden, Maine
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1578790499
Provider Enumeration Date: 06/18/2009
Last Update Date: 12/14/2023

Medicare PECOS Information:

PECOS PAC ID: 9830533116
Enrollment ID: I20240214002333

Medical Identifiers

Medical identifiers for Wallace J Fraser Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578790499	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	CC3848 (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. Wallace J Fraser Jr allows following entities to bill medicare on his behalf.

Entity Name	Fraser Clinical Consultation Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629530530 PECOS PAC ID: 5496199879 Enrollment ID: O20240214001796

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. Wallace J Fraser Jr 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
Wallace J Fraser Jr, LCPC 27 Wilbur Dr, Hampden, ME 04444-1420 Ph: (207) 735-7136	Wallace J Fraser Jr, LCPC 27 Wilbur Dr, Hampden, ME 04444-1420 Ph: (207) 735-7136

Reviews and Comments

Counselor in Hampden, ME

Louise Adelstone, Counselor Medicare: Not Enrolled in Medicare Practice Location: 60 Town Farm Rd, Hampden, ME 04444 Phone: 505-417-1195
Mrs. Megan Elizabeth Smith, LCPC-C Counselor Medicare: Not Enrolled in Medicare Practice Location: 56 Hughes Blvd, Hampden, ME 04444 Phone: 207-299-7729
Mrs. Kristyn Harriman Smith, LCPC-C Counselor Medicare: Not Enrolled in Medicare Practice Location: 25 Mayo Road, Hampden, ME 04444 Phone: 207-862-2384
Kelly Redmond, LCPC, LADC, CCS Counselor Medicare: Not Enrolled in Medicare Practice Location: 293 Coldbrook Rd, Hampden, ME 04444 Phone: 207-424-1704
Mr. Sherri Dee Clark, Counselor Medicare: Not Enrolled in Medicare Practice Location: 52 Sunset Ave, Hampden, ME 04444 Phone: 207-244-4012 Fax: 207-244-4013

Wallace J Fraser Jr, LCPC - Medicare Counselor in Hampden, ME