| East Coast Wellness Llc | |
|
553 Shore Rd Ste 2 Cape Elizabeth ME 04107-1010 | |
| (207) 400-5876 | |
| Not Available |
| Full Name | East Coast Wellness Llc |
|---|---|
| Speciality | Psychologist |
| Location | 553 Shore Rd Ste 2, Cape Elizabeth, Maine |
| Authorized Official Name and Position | Loren Bush (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 2074005092 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| East Coast Wellness Llc 553 Shore Rd Ste 2 Cape Elizabeth ME 04107-1010 Ph: (207) 400-5876 | East Coast Wellness Llc 553 Shore Rd Ste 2 Cape Elizabeth ME 04107-1010 Ph: (207) 400-5876 |
| NPI Number | 1447727466 |
|---|---|
| Provider Enumeration Date | 10/29/2018 |
| Last Update Date | 09/13/2021 |
| Certification Date | 09/13/2021 |
| Medicare PECOS PAC ID | 5799028163 |
|---|---|
| Medicare Enrollment ID | O20190529000316 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447727466 | NPI | - | NPPES |
| E300280666 | Medicaid | ME | |
| E300279945 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Loren M Bush |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437539210 PECOS PAC ID: 0446556237 Enrollment ID: I20160303001522 |
| Provider Name | Quynn W Morehouse |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982074373 PECOS PAC ID: 3577869239 Enrollment ID: I20160308000096 |
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William H. Leschey, Phd, P.a. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 107 Delano Park, Cape Elizabeth, ME 04107 Phone: 207-650-9424 | |
Maine Medical Partners Internal Medicine Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 155 Spurwink Ave, Cape Elizabeth, ME 04107 Phone: 207-767-2174 Fax: 207-767-1384 | |
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Julia L Orr Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 20 Cheverus Rd, Cape Elizabeth, ME 04107 Phone: 207-329-6156 |