Anjelique Gorba, MS, NCC in Altoona, PA - Medicare Counselor Provider

Anjelique Gorba, MS, NCC is a medicare enrolled "Counselor - Mental Health" provider in Altoona, Pennsylvania. Her current practice location is 705 12th St, Altoona, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (814) 944-9970.

Anjelique Gorba is licensed to practice in Pennsylvania (license number PC014455) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1790421931.

Contact Information

	Anjelique Gorba, MS, NCC
	705 12th St, Altoona, PA 16602-2419
	(814) 944-9970
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Anjelique Gorba
Gender	Female
Speciality	Counselor - Mental Health
Location	705 12th St, Altoona, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790421931
Provider Enumeration Date: 05/10/2022
Last Update Date: 05/26/2022

Medicare PECOS Information:

PECOS PAC ID: 3072958131
Enrollment ID: I20240228001923

Medical Identifiers

Medical identifiers for Anjelique Gorba such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790421931	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	PC014455 (Pennsylvania)	Secondary
101YM0800X	Counselor - Mental Health	PC014455 (Pennsylvania)	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. Anjelique Gorba allows following entities to bill medicare on her behalf.

Entity Name	Blair Family Solutions, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720133218 PECOS PAC ID: 7113111261 Enrollment ID: O20101102001119

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. Anjelique Gorba 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
Anjelique Gorba, MS, NCC 1310 Valley View Blvd, Altoona, PA 16602-6080 Ph: (814) 944-9970	Anjelique Gorba, MS, NCC 705 12th St, Altoona, PA 16602-2419 Ph: (814) 944-9970

Reviews and Comments

Counselor in Altoona, PA

Mrs. Susan H Adams, BS CCDP BPRP Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 E Chestnut Ave, Altoona, PA 16601 Phone: 814-943-0414
Heather Ann Campbell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 E Chestnut Ave, Altoona, PA 16601 Phone: 814-940-7473
Dr. James Robert Brady, PH.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 105 Lakemont Blvd., Altoona, PA 16602 Phone: 814-942-9999 Fax: 814-942-9999
Kelli Nichole Corl, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1815 Valley View Blvd, Altoona, PA 16602 Phone: 814-942-9425 Fax: 814-942-9725
Mrs. Brenda Eileen Simmons, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1815 Valley View Blvd, Altoona, PA 16602 Phone: 814-942-9425 Fax: 814-942-9425
Amanda Lynn Henry, MS, LAPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 705 12th St, Altoona, PA 16602 Phone: 814-944-9970 Fax: 814-201-2960
Weston Hatch, LAPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 705 12th St, Altoona, PA 16602 Phone: 814-944-9970 Fax: 814-201-2960

Anjelique Gorba, MS, NCC - Medicare Counselor in Altoona, PA