Dr Gordon Powell Street, PHD in Lincoln, ME - Medicare Clinical Psychologist Provider

Dr Gordon Powell Street, PHD is a medicare enrolled "Psychologist - Clinical" provider in Lincoln, Maine. He graduated from medical school in 1998 and has 26 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Health Access Network Inc and his current practice location is 175 West Broadway, Lincoln, Maine. You can reach out to his office (for appointments etc.) via phone at (207) 794-6700.

Dr Gordon Powell Street is licensed to practice in Maine (license number PS1177) 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 1184699910.

Contact Information

	Dr Gordon Powell Street, PHD
	175 West Broadway, Lincoln, ME 04457
	(207) 794-6700
	(207) 794-0059

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Gordon Powell Street
Gender	Male
Speciality	Clinical Psychologist
Experience	26 Years
Location	175 West Broadway, Lincoln, Maine
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Gordon Powell Street graduated from medical school in 1998

NPI Data:

NPI Number: 1184699910
Provider Enumeration Date: 02/23/2006
Last Update Date: 03/30/2023

Medicare PECOS Information:

PECOS PAC ID: 4688681844
Enrollment ID: I20180510000656

Medical Identifiers

Medical identifiers for Dr Gordon Powell Street such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184699910	NPI	-	NPPES
061698	Medicaid	ME
061698	Other	ME	ANTHEM BC/BS OF ME PIN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PS1177 (Maine)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Health Access Network Inc	2769393180	23

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 Gordon Powell Street allows following entities to bill medicare on his behalf.

Entity Name	Health Access Network Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467468215 PECOS PAC ID: 2769393180 Enrollment ID: O20040803001713

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 Gordon Powell Street 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 Gordon Powell Street, PHD 175 West Broadway, Lincoln, ME 04457 Ph: (207) 794-6700	Dr Gordon Powell Street, PHD 175 West Broadway, Lincoln, ME 04457 Ph: (207) 794-6700

Reviews and Comments

Psychologist in Lincoln, ME

Loretta Lee Severson, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 51 Main St, Lincoln, ME 04457 Phone: 207-290-1924
Dr. Kenneth B Liberty, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 175 W Broadway, Lincoln, ME 04457 Phone: 207-794-6700

Dr Gordon Powell Street, PHD - Medicare Psychologist in Lincoln, ME