Benjamin Crocker Md - Medicare Mental Health Clinic in Portland, ME

Benjamin Crocker Md is a medicare enrolled mental health clinic (Psychiatry & Neurology - Psychiatry) in Portland, Maine. The current practice location for Benjamin Crocker Md is 208 Vaughan St, Portland, Maine. For appointments, you can reach them via phone at (207) 400-6197. The mailing address for Benjamin Crocker Md is 13 Carroll St, Portland, Maine and phone number is (207) 400-6197.

Benjamin Crocker Md is licensed to practice in Maine (license number MD13127). The clinic also participates in the medicare program and its NPI number is 1417315482. 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) 400-6197.

Contact Information

Benjamin Crocker Md
208 Vaughan St
Portland
ME 04102-3204
(207) 400-6197
(888) 232-0290

Mental Health Clinic Profile

Full NameBenjamin Crocker Md
SpecialityPsychiatry & Neurology
Location208 Vaughan St, Portland, Maine
Authorized Official Name and PositionBenjamin Crocker (OWNER)
Authorized Official Contact2074508627
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Benjamin Crocker Md
13 Carroll St
Portland
ME 04102-3501

Ph: (207) 400-6197
Benjamin Crocker Md
208 Vaughan St
Portland
ME 04102-3204

Ph: (207) 400-6197

NPI Details:

NPI Number1417315482
Provider Enumeration Date02/05/2016
Last Update Date05/31/2022
Certification Date05/31/2022

Medicare PECOS Information:

Medicare PECOS PAC ID0244528933
Medicare Enrollment IDO20161012002366

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Medical Identifiers

Medical identifiers for Benjamin Crocker Md such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417315482NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry MD13127 (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. Benjamin Crocker Md acts as a billing entity for following providers:
Provider NameBenjamin Crocker
Provider TypePractitioner - Neuropsychiatry
Provider IdentifiersNPI Number: 1841297009
PECOS PAC ID: 2466427604
Enrollment ID: I20040831000787

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Psychiatry & Neurology in Portland, ME

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