Fran Rodenburg, Ph.d., Ladc,llc - Medicare Mental Health Clinic in Portland, ME

Fran Rodenburg, Ph.d., Ladc,llc is a medicare enrolled mental health clinic (Clinic/center - Adult Mental Health) in Portland, Maine. The current practice location for Fran Rodenburg, Ph.d., Ladc,llc is 585 Forest Ave, Portland, Maine. For appointments, you can reach them via phone at (207) 239-2356. The mailing address for Fran Rodenburg, Ph.d., Ladc,llc is 14 Kelley Way, Westbrook, Maine and phone number is (207) 239-2356.

Fran Rodenburg, Ph.d., Ladc,llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1568249829. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (207) 239-2356.

Contact Information

Fran Rodenburg, Ph.d., Ladc,llc
585 Forest Ave
Portland
ME 04101-1519
(207) 239-2356
Not Available

Mental Health Clinic Profile

Full NameFran Rodenburg, Ph.d., Ladc,llc
SpecialityClinic/Center
Location585 Forest Ave, Portland, Maine
Authorized Official Name and PositionFran Ann Rodenburg (OWNER)
Authorized Official Contact2072392356
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Fran Rodenburg, Ph.d., Ladc,llc
14 Kelley Way
Westbrook
ME 04092-2762

Ph: (207) 239-2356
Fran Rodenburg, Ph.d., Ladc,llc
585 Forest Ave
Portland
ME 04101-1519

Ph: (207) 239-2356

NPI Details:

NPI Number1568249829
Provider Enumeration Date09/11/2023
Last Update Date03/15/2024
Certification Date03/15/2024

Medicare PECOS Information:

Medicare PECOS PAC ID1355787409
Medicare Enrollment IDO20240311003695

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Medical Identifiers

Medical identifiers for Fran Rodenburg, Ph.d., Ladc,llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568249829NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QM0850XClinic/center - Adult Mental Health (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Fran Rodenburg, Ph.d., Ladc,llc acts as a billing entity for following providers:
Provider NameFrances Rodenburg
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1376165274
PECOS PAC ID: 9436553203
Enrollment ID: I20210802003217

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