Maple Leaf Clinic Pc - Medicare Mental Health Clinic in Wallingford, VT

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Maple Leaf Clinic Pc is a medicare enrolled mental health clinic (Psychologist - Clinical) in Wallingford, Vermont. The current practice location for Maple Leaf Clinic Pc is 167 N Main St, Wallingford, Vermont. For appointments, you can reach them via phone at (802) 446-3577. The mailing address for Maple Leaf Clinic Pc is 167 N Main St, Wallingford, Vermont and phone number is (802) 446-3577.

Maple Leaf Clinic Pc is licensed to practice in Vermont (license number 620). The clinic also participates in the medicare program and its NPI number is 1851715635. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (802) 446-3577.

Contact Information

Maple Leaf Clinic Pc
167 N Main St
Wallingford
VT 05773-9800
(802) 446-3577
(802) 446-3801

Map and Direction


Mental Health Clinic Profile

Full NameMaple Leaf Clinic Pc
SpecialityPsychologist
Location167 N Main St, Wallingford, Vermont
Authorized Official Name and PositionDean J Mooney (OWNER)
Authorized Official Contact8024463577
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Maple Leaf Clinic Pc
167 N Main St
Wallingford
VT 05773-9800

Ph: (802) 446-3577		Maple Leaf Clinic Pc
167 N Main St
Wallingford
VT 05773-9800

Ph: (802) 446-3577

NPI Details:

NPI Number1851715635
Provider Enumeration Date02/13/2014
Last Update Date02/05/2021
Certification Date02/05/2021

Medicare PECOS Information:

Medicare PECOS PAC ID8426463951
Medicare Enrollment IDO20210216001561

Medical Identifiers

Medical identifiers for Maple Leaf Clinic Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1851715635NPI-NPPES
1022361MedicaidVT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 620 (Vermont)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Maple Leaf Clinic Pc acts as a billing entity for following providers:
Provider NameDean Jm Mooney
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1568686822
PECOS PAC ID: 0446524011
Enrollment ID: I20170920001541
Provider NameKayja Marie Champine
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1669136420
PECOS PAC ID: 1951780402
Enrollment ID: I20220614001295
Provider NameLynn Dorsky
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1578242376
PECOS PAC ID: 3678937778
Enrollment ID: I20230907002947
Provider NameJonathan P. Gilmore
Provider TypePractitioner - Psychologist Billing Independently
Provider IdentifiersNPI Number: 1760121867
PECOS PAC ID: 6406201243
Enrollment ID: I20231013000784
Provider NameKayja Marie Champine
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1669136420
PECOS PAC ID: 1951780402
Enrollment ID: I20240801003998

Reviews and Comments

Psychologist in Wallingford, VT


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 www.medicarelist.com 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.