DR. WILLIAM DEAN JEANBLANC (MD) – Geriatric Psychiatry Physician, NPI 1083727606
Geriatric Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
202 PSYCHIATRY in ME
Provider Addresses for DR. WILLIAM DEAN JEANBLANC (MD)
123 Andover Rd
Westbrook, ME 040923848
Phone: (207) 761-2200
Fax: (207) 761-2108
Type: Location
66 Bramhall St
Portland, ME 041023344
Phone: (207) 662-3101
Fax: (207) 662-6783
Type: Location
216 Vaughan St
Portland, ME 041023204
Phone: (207) 662-2221
Fax: (207) 810-2367
Type: Location
Maine Medical Center, 22, Bramhall Street, West End, Portland, Cumberland County, Maine, 04102, United States
PORTLAND, ME 041023134
Phone: (207) 662-2816
Fax: (207) 662-6783
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2005-06-27
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050627000828 | I | Psychiatry | ME | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 316 | 113 | $0 |
| 90833 | Psychotherapy with evaluation and management visit, 30 minutes | 262 | 88 | $0 |
| 90792 | Psychiatric diagnostic evaluation with medical services | 28 | 28 | $0 |
Insurance plans in this area (ZIP 04092)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PSYCHIATRY | ME | 90833 | Psychotherapy, 30 minutes with patient and/or family member | 516 | 129 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | PA | |
| - | ME | |
| - | ME | |
| - | ME | |
| - | ME | |
| Family Practice, Hospice/Palliative Care | ME | |
| Pediatric Medicine, Endocrinology | MA | |
| - | ME | |
| Family Practice | ME | |
| Nurse Practitioner | ME |
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