James Randol Gilooly, PHD is a medicare enrolled "Psychologist - Clinical" provider in Old Orchard Beach, Maine. His current practice location is
13 Bay Ave., Unit C, Old Orchard Beach, Maine. You can reach out to his office (for appointments etc.) via phone at
(207) 205-2074.
James Randol Gilooly is licensed to practice in Maine (license number PS2597) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1336648047.
Healthcare Provider's Profile
| Full Name | James Randol Gilooly |
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| Gender | Male |
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| Speciality | Psychologist - Clinical |
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| Location | 13 Bay Ave., Old Orchard Beach, Maine |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1336648047
- Provider Enumeration Date: 02/08/2018
- Last Update Date: 11/22/2024
Medicare PECOS Information:
- PECOS PAC ID: 9739615428
- Enrollment ID: I20241204003607
Medical Identifiers
Medical identifiers for James Randol Gilooly such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1336648047 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1041C0700X | Social Worker - Clinical | LC17038 (Maine) | Secondary |
| 1041C0700X | Social Worker - Clinical | 2014012232 (Missouri) | Secondary |
| 103TC0700X | Psychologist - Clinical | PS2597 (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. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. James Randol Gilooly allows following entities to bill medicare on his behalf.
| Entity Name | The Counseling Center Of Nashua Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1144275389
PECOS PAC ID: 3274523758
Enrollment ID: O20201209003064 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. James Randol Gilooly is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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James Randol Gilooly, PHD
13 Bay Ave Unit C,
Old Orchard Beach, ME 04064-2609
Ph: (207) 205-2074 | James Randol Gilooly, PHD
13 Bay Ave., Unit C,
Old Orchard Beach, ME 04064
Ph: (207) 205-2074 |
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