Annie Derthick, PHD in Lewiston, ME - Medicare Psychologist Provider

Annie Derthick, PHD is a medicare enrolled "Psychologist - Family" provider in Lewiston, Maine. Her current practice location is 76 High St, Lewiston, Maine. You can reach out to her office (for appointments etc.) via phone at (207) 795-2800.

Annie Derthick is licensed to practice in Maine (license number PS1563) 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 1689039422.

Contact Information

	Annie Derthick, PHD
	76 High St, Lewiston, ME 04240
	(207) 795-2800
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Annie Derthick
Gender	Female
Speciality	Psychologist - Family
Location	76 High St, Lewiston, Maine
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1689039422
Provider Enumeration Date: 12/21/2015
Last Update Date: 09/13/2018

Medicare PECOS Information:

PECOS PAC ID: 2567769391
Enrollment ID: I20200227002274

Medical Identifiers

Medical identifiers for Annie Derthick such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689039422	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	107779 (Alaska)	Secondary
103TF0000X	Psychologist - Family	PS1563 (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. Annie Derthick allows following entities to bill medicare on her behalf.

Entity Name	Central Maine Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689653487 PECOS PAC ID: 2567379563 Enrollment ID: O20040324000441

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. Annie Derthick 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
Annie Derthick, PHD 76 High St, Lewiston, ME 04240-7649 Ph: (207) 795-2800	Annie Derthick, PHD 76 High St, Lewiston, ME 04240 Ph: (207) 795-2800

Reviews and Comments

Psychologist in Lewiston, ME

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Annie Derthick, PHD - Medicare Psychologist in Lewiston, ME