Patronus Llc - Medicare Mental Health Clinic in Yarmouth, ME

Patronus Llc is a medicare enrolled mental health clinic (Clinical Neuropsychologist) in Yarmouth, Maine. The current practice location for Patronus Llc is 701 Us Route 1 Ste 2a, Yarmouth, Maine. For appointments, you can reach them via phone at (207) 352-5011. The mailing address for Patronus Llc is 701 Us Route 1 Ste 2a, Yarmouth, Maine and phone number is (207) 352-5011.

Patronus Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1619682366. 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) 352-5011.

Contact Information

Patronus Llc
701 Us Route 1 Ste 2a
Yarmouth
ME 04096-7006
(207) 352-5011
(207) 352-5013

Mental Health Clinic Profile

Full NamePatronus Llc
SpecialityClinical Neuropsychologist
Location701 Us Route 1 Ste 2a, Yarmouth, Maine
Authorized Official Name and PositionMaureen D Sanford (OWNER)
Authorized Official Contact2073525011
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Patronus Llc
701 Us Route 1 Ste 2a
Yarmouth
ME 04096-7006

Ph: (207) 352-5011
Patronus Llc
701 Us Route 1 Ste 2a
Yarmouth
ME 04096-7006

Ph: (207) 352-5011

NPI Details:

NPI Number1619682366
Provider Enumeration Date01/17/2023
Last Update Date01/17/2023
Certification Date01/17/2023

Medicare PECOS Information:

Medicare PECOS PAC ID4082079819
Medicare Enrollment IDO20230502000109

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Medical Identifiers

Medical identifiers for Patronus Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619682366NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103G00000XClinical Neuropsychologist (* (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. Patronus Llc acts as a billing entity for following providers:
Provider NameMaureen Diana Sanford
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1467909168
PECOS PAC ID: 7719265974
Enrollment ID: I20161024001596

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