Dr Shannon Janice Ezovski, MD in Westbrook, ME - Medicare Psychiatry & Neurology

Dr Shannon Janice Ezovski, MD is a medicare enrolled "Psychiatry & Neurology - Child & Adolescent Psychiatry" physician in Westbrook, Maine. Her current practice location is 123 Andover Rd, Westbrook, Maine. You can reach out to her office (for appointments etc.) via phone at (207) 761-2200.

Dr Shannon Janice Ezovski is licensed to practice in Maine (license number MD26680) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1134624125.

Contact Information

	Dr Shannon Janice Ezovski, MD
	123 Andover Rd, Westbrook, ME 04092-3848
	(207) 761-2200
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Shannon Janice Ezovski
Gender	Female
Speciality	Psychiatry & Neurology - Child & Adolescent Psychiatry
Location	123 Andover Rd, Westbrook, Maine
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134624125
Provider Enumeration Date: 03/29/2018
Last Update Date: 09/28/2023

Medicare PECOS Information:

PECOS PAC ID: 4981042538
Enrollment ID: I20240402003543

Medical Identifiers

Medical identifiers for Dr Shannon Janice Ezovski such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134624125	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	MD26680 (Maine)	Secondary
2084P0804X	Psychiatry & Neurology - Child & Adolescent Psychiatry	MD26680 (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. Dr Shannon Janice Ezovski allows following entities to bill medicare on her behalf.

Entity Name	Mainehealth
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI 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. Dr Shannon Janice Ezovski 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
Dr Shannon Janice Ezovski, MD 123 Andover Rd, Westbrook, ME 04092-3848 Ph: (207) 761-2200	Dr Shannon Janice Ezovski, MD 123 Andover Rd, Westbrook, ME 04092-3848 Ph: (207) 761-2200

Reviews and Comments

Psychiatry & Neurology Doctors in Westbrook, ME

Sally A. Cooper, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 123 Andover Rd, Westbrook, ME 04092 Phone: 207-761-2200 Fax: 207-761-2108
David F Ray, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 123 Andover Rd, Westbrook, ME 04092 Phone: 207-761-2200 Fax: 207-761-7773
Dr. Sarah Gumlak, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 123 Andover Rd, Westbrook, ME 04092 Phone: 207-761-2200
Girard E Robinson, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 123 Andover Rd, Westbrook, ME 04092 Phone: 207-761-2200 Fax: 207-842-7773
Dr. Gabriel E. Matos, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 123 Andover Rd, Westbrook, ME 04092 Phone: 207-761-2200
Dr. Melissa M Bowker-kinley, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 123 Andover Rd, Westbrook, ME 04092 Phone: 207-761-2200 Fax: 207-761-2108

Dr Shannon Janice Ezovski, MD - Medicare Psychiatry & Neurology in Westbrook, ME