Dr Douglas Marr Speck, PHD is a medicare enrolled "Psychologist - Clinical" provider in Bradford, Vermont. He graduated from medical school in 1997 and has 27 years of diverse experience with area of expertise as Clinical Psychologist. His current practice location is
540 Route 5 South, Bradford, Vermont. You can reach out to his office (for appointments etc.) via phone at
(802) 222-9001.
Dr Douglas Marr Speck is licensed to practice in Vermont (license number 754) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1841319043.
Healthcare Provider's Profile
| Full Name | Dr Douglas Marr Speck |
|---|
| Gender | Male |
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| Speciality | Clinical Psychologist |
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| Experience | 27 Years |
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| Location | 540 Route 5 South, Bradford, Vermont |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Douglas Marr Speck graduated from medical school in 1997
NPI Data:
- NPI Number: 1841319043
- Provider Enumeration Date: 03/28/2007
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 8325148570
- Enrollment ID: I20070717000488
Medical Identifiers
Medical identifiers for Dr Douglas Marr Speck such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1841319043 | NPI | - | NPPES |
| 30423048 | Medicaid | NH | |
| 1007089 | Medicaid | VT | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | 754 (Vermont) | Primary |
| 103TC0700X | Psychologist - Clinical | 918 (New Hampshire) | Secondary |
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 Douglas Marr Speck 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 Douglas Marr Speck, PHD
Po Box 88,
Bradford, VT 05033
Ph: (802) 222-9001 | Dr Douglas Marr Speck, PHD
540 Route 5 South,
Bradford, VT 05033
Ph: (802) 222-9001 |
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