Dr Jerrold C Edelberg, PHD in South Portland, ME - Medicare Psychologist Provider

Dr Jerrold C Edelberg, PHD is a medicare enrolled "Psychologist - Clinical" provider in South Portland, Maine. His current practice location is 280b Gannett Dr, South Portland, Maine. You can reach out to his office (for appointments etc.) via phone at (207) 828-0048.

Dr Jerrold C Edelberg is licensed to practice in Maine (license number PS561) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1619203973.

Contact Information

	Dr Jerrold C Edelberg, PHD
	280b Gannett Dr, South Portland, ME 04106-6940
	(207) 828-0048
	(207) 772-3743

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jerrold C Edelberg
Gender	Male
Speciality	Psychologist - Clinical
Location	280b Gannett Dr, South 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: 1619203973
Provider Enumeration Date: 10/21/2009
Last Update Date: 11/06/2013

Medicare PECOS Information:

PECOS PAC ID: 0749504777
Enrollment ID: I20150123000071

Medical Identifiers

Medical identifiers for Dr Jerrold C Edelberg such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619203973	NPI	-	NPPES
1053467779	Medicaid	ME

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PS561 (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 Jerrold C Edelberg allows following entities to bill medicare on his behalf.

Entity Name	Port Resources
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053467779 PECOS PAC ID: 5496078206 Enrollment ID: O20150102000068

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 Jerrold C Edelberg 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 Jerrold C Edelberg, PHD 280b Gannett Dr, South Portland, ME 04106-6940 Ph: (207) 828-0048	Dr Jerrold C Edelberg, PHD 280b Gannett Dr, South Portland, ME 04106-6940 Ph: (207) 828-0048

Reviews and Comments

Psychologist in South Portland, ME

Dr. Kimberly Christine Drouin, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 609 Main St, Suite 3, South Portland, ME 04106 Phone: 207-775-2220 Fax: 207-775-2226
Dr. Gabriel Mauricio Garza Sada, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 707 Sable Oaks Dr Ste 230, South Portland, ME 04106 Phone: 603-883-0005
Dr. Jonathan David Birnberg, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 609 Main St, Suite 3, South Portland, ME 04106 Phone: 207-775-2220 Fax: 207-775-2226
Dr. Katherine K Ryan, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 41 Donald B Dean Dr, South Portland, ME 04106 Phone: 207-661-6064
Dr. Christine Joan Cooke, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 837 Broadway, South Portland, ME 04106 Phone: 207-332-3872
Dr. Carole Orem-hough, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 837 Broadway, South Portland, ME 04106 Phone: 207-775-0600 Fax: 207-799-0852
Mr. Patron Nkurunziza Bazoza, MD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 586 Westbrook St, South Portland, ME 04106 Phone: 325-518-5324

Dr Jerrold C Edelberg, PHD - Medicare Psychologist in South Portland, ME