Jessica Welch Llc - Medicare Mental Health Clinic in Gorham, ME

Jessica Welch Llc is a medicare enrolled mental health clinic (Community/behavioral Health) in Gorham, Maine. The current practice location for Jessica Welch Llc is 12 Elm St, Gorham, Maine. For appointments, you can reach them via phone at (207) 370-1282. The mailing address for Jessica Welch Llc is 151 Old Portland Rd, North Waterboro, Maine and phone number is (207) 333-0330.

Jessica Welch Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1588311385. 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) 370-1282.

Contact Information

Jessica Welch Llc
12 Elm St
Gorham
ME 04038-1506
(207) 370-1282
Not Available

Mental Health Clinic Profile

Full NameJessica Welch Llc
SpecialityCommunity/Behavioral Health
Location12 Elm St, Gorham, Maine
Authorized Official Name and PositionJessica Welch (OWNER)
Authorized Official Contact2073330330
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jessica Welch Llc
151 Old Portland Rd
North Waterboro
ME 04061-4901

Ph: (207) 333-0330
Jessica Welch Llc
12 Elm St
Gorham
ME 04038-1506

Ph: (207) 370-1282

NPI Details:

NPI Number1588311385
Provider Enumeration Date03/02/2022
Last Update Date03/02/2022
Certification Date03/02/2022

Medicare PECOS Information:

Medicare PECOS PAC ID4789070392
Medicare Enrollment IDO20220407001916

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Medical Identifiers

Medical identifiers for Jessica Welch Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1588311385NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
251S00000XCommunity/behavioral 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. Jessica Welch Llc acts as a billing entity for following providers:
Provider NameJessica M Welch
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1588111942
PECOS PAC ID: 8628404548
Enrollment ID: I20200212000567

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Community/Behavioral Health in Gorham, ME

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