Shawn R Kalback, PHD in Portland, ME - Medicare Clinical Psychologist Provider

Shawn R Kalback, PHD is a medicare enrolled "Psychologist - Clinical Child & Adolescent" provider in Portland, Maine. She graduated from medical school in 2004 and has 22 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Mainegeneral Medical Center and her current practice location is 1577 Congress St Ste 2, Portland, Maine. You can reach out to her office (for appointments etc.) via phone at (207) 662-5522.

Shawn R Kalback is licensed to practice in Maine (license number PS1375) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1770602641.

Contact Information

	Shawn R Kalback, PHD
	1577 Congress St Ste 2, Portland, ME 04102-2169
	(207) 662-5522
	(207) 774-1814

Map and Direction

Healthcare Provider's Profile

Full Name	Shawn R Kalback
Gender	Female
Speciality	Clinical Psychologist
Experience	22 Years
Location	1577 Congress St Ste 2, 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.

Medical Education and Training:

Shawn R Kalback graduated from medical school in 2004

NPI Data:

NPI Number: 1770602641
Provider Enumeration Date: 03/29/2007
Last Update Date: 06/25/2025

Medicare PECOS Information:

PECOS PAC ID: 9830330588
Enrollment ID: I20130723000950

Medical Identifiers

Medical identifiers for Shawn R Kalback such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770602641	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PS1375 (Maine)	Secondary
103TC2200X	Psychologist - Clinical Child & Adolescent	04354 (Maryland)	Secondary
103TC2200X	Psychologist - Clinical Child & Adolescent	PS1375 (Maine)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mainegeneral Medical Center	1254245715	501

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. Shawn R Kalback allows following entities to bill medicare on her behalf.

Entity Name	Mainegeneral Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669423380 PECOS PAC ID: 1254245715 Enrollment ID: O20031118000718

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. Shawn R Kalback 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
Shawn R Kalback, PHD 1577 Congress St Ste 2, Portland, ME 04102-2169 Ph: (207) 662-5522	Shawn R Kalback, PHD 1577 Congress St Ste 2, Portland, ME 04102-2169 Ph: (207) 662-5522

Reviews and Comments

Psychologist in Portland, ME

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: Medicare Enrolled Practice Location: 37 Andover Road, Portland, ME 04102 Phone: 207-661-3600

Shawn R Kalback, PHD - Medicare Psychologist in Portland, ME