Tracy George Llc - Medicare Mental Health Clinic in Portland, ME

Tracy George Llc is a medicare enrolled mental health clinic (Community/behavioral Health) in Portland, Maine. The current practice location for Tracy George Llc is 45 Pleasant Ave, Portland, Maine. For appointments, you can reach them via phone at (603) 343-6352. The mailing address for Tracy George Llc is 41 Topaz Pl, Portsmouth, New Hampshire and phone number is (603) 343-6352.

Tracy George Llc is licensed to practice in Maine (license number LC15680). The clinic also participates in the medicare program and its NPI number is 1710434170. 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 (603) 343-6352.

Contact Information

Tracy George Llc
45 Pleasant Ave
Portland
ME 04103-3217
(603) 343-6352
(207) 221-1219

Mental Health Clinic Profile

Full NameTracy George Llc
SpecialityCommunity/Behavioral Health
Location45 Pleasant Ave, Portland, Maine
Authorized Official Name and PositionTracy E George (CEO)
Authorized Official Contact6033436352
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Tracy George Llc
41 Topaz Pl
Portsmouth
NH 03801-3583

Ph: (603) 343-6352
Tracy George Llc
45 Pleasant Ave
Portland
ME 04103-3217

Ph: (603) 343-6352

NPI Details:

NPI Number1710434170
Provider Enumeration Date09/02/2016
Last Update Date09/02/2016

Medicare PECOS Information:

Medicare PECOS PAC ID2062796899
Medicare Enrollment IDO20170223000227

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Medical Identifiers

Medical identifiers for Tracy George Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710434170NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
251S00000XCommunity/behavioral Health LC15680 (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. Tracy George Llc acts as a billing entity for following providers:
Provider NameTracy E George
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1720259047
PECOS PAC ID: 2961417704
Enrollment ID: I20160405001933

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