Neuropsychology Service Pa - Medicare Mental Health Clinic in Bangor, ME

Neuropsychology Service Pa is a medicare enrolled mental health clinic (Psychologist - Clinical) in Bangor, Maine. The current practice location for Neuropsychology Service Pa is 277 State Street, Suite 2a, Bangor, Maine. For appointments, you can reach them via phone at (207) 990-2580. The mailing address for Neuropsychology Service Pa is 277 State St, Suite 2a, Bangor, Maine and phone number is (207) 990-2580.

Neuropsychology Service Pa is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1811100068. 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) 990-2580.

Contact Information

Neuropsychology Service Pa
277 State Street
Suite 2a
Bangor
ME 04401-5440
(207) 990-2580
(207) 990-1930

Mental Health Clinic Profile

Full NameNeuropsychology Service Pa
SpecialityPsychologist
Location277 State Street, Bangor, Maine
Authorized Official Name and PositionRoyal G Grueneich (PRESIDENT)
Authorized Official Contact2079902580
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Neuropsychology Service Pa
277 State St
Suite 2a
Bangor
ME 04401-5439

Ph: (207) 990-2580
Neuropsychology Service Pa
277 State Street
Suite 2a
Bangor
ME 04401-5440

Ph: (207) 990-2580

NPI Details:

NPI Number1811100068
Provider Enumeration Date05/07/2007
Last Update Date12/02/2010

Medicare PECOS Information:

Medicare PECOS PAC ID6608896709
Medicare Enrollment IDO20051205000448

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› Verified 6 days ago

Medical Identifiers

Medical identifiers for Neuropsychology Service Pa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1811100068NPI-NPPES
5418635OtherAETNA
P0724OtherANTHEM

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical (* (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. Neuropsychology Service Pa acts as a billing entity for following providers:
Provider NameRoyal G Grueneich
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1437138765
PECOS PAC ID: 0547280554
Enrollment ID: I20051205000715

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› Verified 6 days ago

Provider NameLola C Bogyo
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1689891384
PECOS PAC ID: 8022103845
Enrollment ID: I20090804000500

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› Verified 6 days ago

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› Verified 6 days ago

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