Ms Nichole Proulx, LMFT - Medicare Couples Therapy in Bangor, ME

Ms Nichole Proulx, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Bangor, Maine. Her current practice location is 1 College Cir, Bangor, Maine. You can reach out to her office (for appointments etc.) via phone at (207) 941-7990.

Ms Nichole Proulx is licensed to practice in Maine (license number MF3946) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1790910735.

Contact Information

Ms Nichole Proulx, LMFT
1 College Cir,
Bangor, ME 04401-2929
(207) 941-7990
Not Available

Healthcare Provider's Profile

Full NameMs Nichole Proulx
GenderFemale
SpecialityMarriage & Family Therapist
Location1 College Cir, Bangor, Maine
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1790910735
  • Provider Enumeration Date: 05/20/2009
  • Last Update Date: 06/08/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2567814924
  • Enrollment ID: I20240122001683

Medical Identifiers

Medical identifiers for Ms Nichole Proulx such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790910735NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
106H00000XMarriage & Family Therapist XM2969 (Maine)Secondary
106H00000XMarriage & Family Therapist MF3946 (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. Ms Nichole Proulx allows following entities to bill medicare on her behalf.
Entity NameEastern Maine Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790789147
PECOS PAC ID: 2062315161
Enrollment ID: O20040128000088

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Entity NameAcadia Hospital Corp.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215940523
PECOS PAC ID: 7719878495
Enrollment ID: O20040323000136

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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. Ms Nichole Proulx 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 AddressPractice Location Address
Ms Nichole Proulx, LMFT
692 W Old Town Rd,
Old Town, ME 04468-5715

Ph: () -
Ms Nichole Proulx, LMFT
1 College Cir,
Bangor, ME 04401-2929

Ph: (207) 941-7990

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Marriage & Family Therapist in Bangor, ME

Mrs. Rebecca E Sander,
Couples Therapy
Medicare: Not Enrolled in Medicare
Practice Location: 202 Exchange St, Bangor, ME 04401
Phone: 207-941-6434    Fax: 207-941-9366
Caitlin M. Arey,
Couples Therapy
Medicare: Not Enrolled in Medicare
Practice Location: 49 Florida Ave, Bangor, ME 04401
Phone: 207-299-1414    Fax: 207-947-6278
Sandra Rulon, LMFT
Couples Therapy
Medicare: Not Enrolled in Medicare
Practice Location: 49 Florida Ave, Bangor, ME 04401
Phone: 207-299-1414    
Tracie Zinman-ibrahim, LMFT
Couples Therapy
Medicare: Not Enrolled in Medicare
Practice Location: 1068 Union St, Bangor, ME 04401
Phone: 207-404-8181    Fax: 207-922-4198
Ms. Simone Elisabeth Cromwell, MA, LMFTTC
Couples Therapy
Medicare: Not Enrolled in Medicare
Practice Location: 360 Harlow St, Bangor, ME 04401
Phone: 877-668-8678    
Alissa Theo Mitchell, LMFT
Couples Therapy
Medicare: Not Enrolled in Medicare
Practice Location: 49 Florida Ave, Bangor, ME 04401
Phone: 207-299-1414    

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