Lydia Ward-gray, Psyd, Llc - Medicare Mental Health Clinic in Portland, ME

Lydia Ward-gray, Psyd, Llc is a medicare enrolled mental health clinic (Psychologist - Clinical) in Portland, Maine. The current practice location for Lydia Ward-gray, Psyd, Llc is 19 South Street, Suite 4, Portland, Maine. For appointments, you can reach them via phone at (207) 232-4508. The mailing address for Lydia Ward-gray, Psyd, Llc is 19 South St, Suite 4, Portland, Maine and phone number is (207) 232-4508.

Lydia Ward-gray, Psyd, Llc is licensed to practice in Maine (license number PS881). The clinic also participates in the medicare program and its NPI number is 1578019113. 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) 232-4508.

Contact Information

Lydia Ward-gray, Psyd, Llc
19 South Street
Suite 4
Portland
ME 04101
(207) 232-4508
Not Available

Mental Health Clinic Profile

Full NameLydia Ward-gray, Psyd, Llc
SpecialityPsychologist
Location19 South Street, Portland, Maine
Authorized Official Name and PositionLydia Ward-gray (CLINICAL PSYCHOLOGIST)
Authorized Official Contact2072324508
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Lydia Ward-gray, Psyd, Llc
19 South St
Suite 4
Portland
ME 04101-3963

Ph: (207) 232-4508
Lydia Ward-gray, Psyd, Llc
19 South Street
Suite 4
Portland
ME 04101

Ph: (207) 232-4508

NPI Details:

NPI Number1578019113
Provider Enumeration Date09/01/2016
Last Update Date09/01/2016

Medicare PECOS Information:

Medicare PECOS PAC ID8022393479
Medicare Enrollment IDO20201216001860

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Medical Identifiers

Medical identifiers for Lydia Ward-gray, Psyd, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578019113NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical PS881 (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. Lydia Ward-gray, Psyd, Llc acts as a billing entity for following providers:
Provider NameLydia S Ward-gray
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1992812770
PECOS PAC ID: 9537341656
Enrollment ID: I20110310000991

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