Tom Negron, Ph.d. - Medicare Mental Health Clinic in Gorham, ME

Tom Negron, Ph.d. is a medicare enrolled mental health clinic (Psychologist - Clinical) in Gorham, Maine. The current practice location for Tom Negron, Ph.d. is 4 Cummings Dr, Gorham, Maine. For appointments, you can reach them via phone at (207) 772-1164. The mailing address for Tom Negron, Ph.d. is Po Box 788, Windham, Maine and phone number is (207) 772-1164.

Tom Negron, Ph.d. is licensed to practice in Maine (license number PSY712). The clinic also participates in the medicare program and its NPI number is 1194973131. 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) 772-1164.

Contact Information

Tom Negron, Ph.d.
4 Cummings Dr
Gorham
ME 04038-2452
(207) 772-1164
(207) 772-2670

Mental Health Clinic Profile

Full NameTom Negron, Ph.d.
SpecialityPsychologist
Location4 Cummings Dr, Gorham, Maine
Authorized Official Name and PositionTom Negron (PRESIDENT)
Authorized Official Contact2077721164
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Tom Negron, Ph.d.
Po Box 788
Windham
ME 04062-0788

Ph: (207) 772-1164
Tom Negron, Ph.d.
4 Cummings Dr
Gorham
ME 04038-2452

Ph: (207) 772-1164

NPI Details:

NPI Number1194973131
Provider Enumeration Date09/03/2008
Last Update Date11/07/2021
Certification Date11/07/2021

Medicare PECOS Information:

Medicare PECOS PAC ID7214003433
Medicare Enrollment IDO20080911000338

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Medical Identifiers

Medical identifiers for Tom Negron, Ph.d. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194973131NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical PSY712 (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. Tom Negron, Ph.d. acts as a billing entity for following providers:
Provider NameTom Negron
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1922161686
PECOS PAC ID: 0446322846
Enrollment ID: I20080911000332

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