Chelsea A Gilliam, PSYD, LP is a medicare enrolled "Psychologist - Counseling" provider in Springfield, Missouri. Her current practice location is
1300 E Bradford Pkwy, Springfield, Missouri. You can reach out to her office (for appointments etc.) via phone at
(417) 761-5000.
Chelsea A Gilliam is licensed to practice in Missouri (license number 2014040968) 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 1831523232.
Healthcare Provider's Profile
Full Name | Chelsea A Gilliam |
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Gender | Female |
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Speciality | Psychologist - Counseling |
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Location | 1300 E Bradford Pkwy, Springfield, Missouri |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1831523232
- Provider Enumeration Date: 08/21/2013
- Last Update Date: 03/22/2019
Medicare PECOS Information:
- PECOS PAC ID: 0345531703
- Enrollment ID: I20160615002445
Medical Identifiers
Medical identifiers for Chelsea A Gilliam such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1831523232 | NPI | - | NPPES |
490007881 | Medicaid | MO | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | 2012011493 (Missouri) | Secondary |
103TC1900X | Psychologist - Counseling | 2014040968 (Missouri) | 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. Chelsea A Gilliam allows following entities to bill medicare on her behalf.
Entity Name | Burrell, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1275541740 PECOS PAC ID: 4486548625 Enrollment ID: O20040210000372 |
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Entity Name | Bothwell Regional Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1235102690 PECOS PAC ID: 6103714126 Enrollment ID: O20040310000246 |
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Entity Name | Lester E Cox Medical Centers |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1538334396 PECOS PAC ID: 1254248917 Enrollment ID: O20050624000293 |
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Entity Name | Lester E Cox Medical Centers |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1760405864 PECOS PAC ID: 8628092897 Enrollment ID: O20060116000342 |
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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. Chelsea A Gilliam 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 |
Chelsea A Gilliam, PSYD, LP 1300 E Bradford Pkwy, Springfield, MO 65804-4264 Ph: (417) 761-5000 | Chelsea A Gilliam, PSYD, LP 1300 E Bradford Pkwy, Springfield, MO 65804 Ph: (417) 761-5000 |
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