Dr Carlann M Welch, PSYD is a medicare enrolled "Clinical Nurse Specialist - Psychiatric/mental Health, Child & Adolescent" provider in Portland, Maine. Her current practice location is
57 Exchange St, Suite 403, Portland, Maine. You can reach out to her office (for appointments etc.) via phone at
(207) 775-0382.
Dr Carlann M Welch is licensed to practice in Maine (license number CNP191213) 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 1063554947.
Healthcare Provider's Profile
| Full Name | Dr Carlann M Welch |
|---|
| Gender | Female |
|---|
| Speciality | Clinical Nurse Specialist - Psychiatric/mental Health, Child & Adolescent |
|---|
| Location | 57 Exchange St, Portland, Maine |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1063554947
- Provider Enumeration Date: 02/13/2007
- Last Update Date: 04/11/2025
Medicare PECOS Information:
- PECOS PAC ID: 5496184301
- Enrollment ID: I20200327002580
Medical Identifiers
Medical identifiers for Dr Carlann M Welch such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063554947 | NPI | - | NPPES |
| 153990099 | Medicaid | ME | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | PS847 (Maine) | Secondary |
| 364SP0808X | Clinical Nurse Specialist - Psychiatric/mental Health | CNP191213 (Maine) | Secondary |
| 364SP0807X | Clinical Nurse Specialist - Psychiatric/mental Health, Child & Adolescent | CNP191213 (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 Carlann M Welch allows following entities to bill medicare on her behalf.
| Entity Name | Day One |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1164484093
PECOS PAC ID: 9032249644
Enrollment ID: O20100608000839 |
|---|
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 Carlann M Welch 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 Carlann M Welch, PSYD
57 Exchange St, Suite 403,
Portland, ME 04101-5000
Ph: (207) 775-0382 | Dr Carlann M Welch, PSYD
57 Exchange St, Suite 403,
Portland, ME 04101-5000
Ph: (207) 775-0382 |
Reviews and Comments