Jon Howard Siegel, PHD in Bangor, ME - Medicare Clinical Psychologist Provider

Jon Howard Siegel, PHD is a medicare enrolled "Psychologist - Family" provider in Bangor, Maine. He graduated from medical school in 1987 and has 39 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Clinical Psychology Services Pc and his current practice location is 6 State St, Suite 413, Bangor, Maine. You can reach out to his office (for appointments etc.) via phone at (207) 942-2627.

Jon Howard Siegel is licensed to practice in * (Not Available) (license number ) 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 1124149513.

Contact Information

	Jon Howard Siegel, PHD
	6 State St, Suite 413, Bangor, ME 04401-5112
	(207) 942-2627
	(207) 942-2627

Map and Direction

Healthcare Provider's Profile

Full Name	Jon Howard Siegel
Gender	Male
Speciality	Clinical Psychologist
Experience	39 Years
Location	6 State St, Bangor, 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:

Jon Howard Siegel graduated from medical school in 1987

NPI Data:

NPI Number: 1124149513
Provider Enumeration Date: 04/03/2007
Last Update Date: 09/11/2025

Medicare PECOS Information:

PECOS PAC ID: 2860437118
Enrollment ID: I20220629002547

Medical Identifiers

Medical identifiers for Jon Howard Siegel such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124149513	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TA0400X	Psychologist - Addiction (substance Use Disorder)	(* (Not Available))	Secondary
103TC0700X	Psychologist - Clinical	PS744 (Maine)	Secondary
103TC2200X	Psychologist - Clinical Child & Adolescent	(* (Not Available))	Secondary
103TF0000X	Psychologist - Family	(* (Not Available))	Primary
103TF0200X	Psychologist - Forensic	(* (Not Available))	Secondary
103TP2701X	Psychologist - Group Psychotherapy	(* (Not Available))	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Clinical Psychology Services Pc	5496718793	8

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. Jon Howard Siegel allows following entities to bill medicare on his behalf.

Entity Name	Clinical Psychology Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194818054 PECOS PAC ID: 5496718793 Enrollment ID: O20041108000889

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. Jon Howard Siegel 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
Jon Howard Siegel, PHD 6 State St, Suite 413, Bangor, ME 04401-5112 Ph: (207) 942-2627	Jon Howard Siegel, PHD 6 State St, Suite 413, Bangor, ME 04401-5112 Ph: (207) 942-2627

Reviews and Comments

Psychologist in Bangor, ME

Jeffrey Whitehead Aston, PH.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 656 State St, Bangor, ME 04401 Phone: 207-941-4036 Fax: 207-941-4062
Dr. Ronald James Brown, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 82 Columbia St, Suite 301, Bangor, ME 04401 Phone: 207-942-8200 Fax: 207-990-3065
Dr. Diane Alicia Tennies, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 115 Franklin St, Suite 1a, Bangor, ME 04401 Phone: 207-942-3635 Fax: 207-941-1933
Dr. Cheryl S Pelletier, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 232 Seventh St, Bangor, ME 04401 Phone: 207-942-0107
Dr. Agnieszka Karolina Serwik Kronholm, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 905 Union St, 9, Bangor, ME 04401 Phone: 207-973-4037 Fax: 207-973-8276
Dr. Bruce Thomas Saunders, PH.D., ABPP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 363 Mount Hope Ave, Bangor, ME 04401 Phone: 207-947-4928 Fax: 207-942-3325
Alison Lynn Glanville, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 29 Franklin St, Bangor, ME 04401 Phone: 207-942-3816 Fax: 207-561-4725

Jon Howard Siegel, PHD - Medicare Psychologist in Bangor, ME