| Lori Michelle Tirado, LP | |
|
53 Baxter Blvd Ste 3, Portland, ME 04101-1827 | |
| (603) 883-0005 | |
| Not Available |
| Full Name | Lori Michelle Tirado |
|---|---|
| Gender | Female |
| Speciality | Clinical Psychologist |
| Experience | 21 Years |
| Location | 53 Baxter Blvd Ste 3, Portland, Maine |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396159117 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 24105 (California) | Secondary |
| 103TC0700X | Psychologist - Clinical | PS2757 (Maine) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Carenet Inc | 6406845262 | 40 |
| Entity Name | Carenet Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043424013 PECOS PAC ID: 6406845262 Enrollment ID: O20050207000511 |
| Mailing Address | Practice Location Address |
|---|---|
| Lori Michelle Tirado, LP 100 Kimel Forest Dr, Winston Salem, NC 27103-6074 Ph: (336) 716-9034 | Lori Michelle Tirado, LP 53 Baxter Blvd Ste 3, Portland, ME 04101-1827 Ph: (603) 883-0005 |
Dr. John Neal Stewart, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 9 Hastings St, Portland, ME 04102 Phone: 207-772-8999 |
Dr. Toby A Ansfield, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 145 Newbury St, Ste 2, Portland, ME 04101 Phone: 207-756-8866 |
Dr. Elizabeth V Wheeler, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 25 Middle Street, Portland, ME 04101 Phone: 207-712-1853 Fax: 207-773-5512 |
Elizabeth Barker, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1577 Congress St, Portland, ME 04102 Phone: 307-663-5522 |
Dr. Gail Goza-macmullan, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 73 Washington Ave, Portland, ME 04101 Phone: 207-771-3553 Fax: 781-687-3470 |
Ms. Gabrielle Broche, LCPC Psychologist Medicare: Not Enrolled in Medicare Practice Location: 30 Pitt Street, Portland, ME 04103 Phone: 207-828-1023 |
Christine D Dub, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 37 Andover Road, Portland, ME 04102 Phone: 207-661-3600 |