Anthony Gagliardo, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Salem, Oregon. He graduated from healthcare school in 1996 and has 29 years of diverse experience with area of expertise as Clinical Social Worker. His current practice location is
161 High St Se Ste 208a, Salem, Oregon. You can reach out to his office (for appointments etc.) via phone at
(503) 581-7550.
Anthony Gagliardo is licensed to practice in Oregon (license number L0280) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1922022946.
Healthcare Provider's Profile
| Full Name | Anthony Gagliardo |
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| Gender | Male |
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| Speciality | Clinical Social Worker |
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| Experience | 29 Years |
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| Location | 161 High St Se Ste 208a, Salem, Oregon |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Anthony Gagliardo graduated from medical school in 1996
NPI Data:
- NPI Number: 1922022946
- Provider Enumeration Date: 07/26/2006
- Last Update Date: 11/25/2014
Medicare PECOS Information:
- PECOS PAC ID: 5991609299
- Enrollment ID: I20031120000378
Medical Identifiers
Medical identifiers for Anthony Gagliardo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1922022946 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101Y00000X | Counselor | L0280 (Oregon) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | L0280 (Oregon) | Secondary |
| 1041C0700X | Social Worker - Clinical | L0280 (Oregon) | 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. Anthony Gagliardo allows following entities to bill medicare on his behalf.
| Entity Name | Icarus Counseling Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1861576340
PECOS PAC ID: 5890681845
Enrollment ID: O20040225001147 |
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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. Anthony Gagliardo 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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Anthony Gagliardo, LCSW
161 High St Se Ste 2048a,
Salem, OR 97301-3610
Ph: (503) 581-7550 | Anthony Gagliardo, LCSW
161 High St Se Ste 208a,
Salem, OR 97301-3660
Ph: (503) 581-7550 |
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