Dr Gary Matthew Cusick, PHD is a medicare enrolled "Psychologist - Clinical" provider in Louisville, Kentucky. His current practice location is
1206 Holsworth Ln, Louisville, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(502) 439-0398.
Dr Gary Matthew Cusick is licensed to practice in Kentucky (license number 1344) 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 1215239801.
Healthcare Provider's Profile
| Full Name | Dr Gary Matthew Cusick |
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| Gender | Male |
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| Speciality | Psychologist - Clinical |
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| Location | 1206 Holsworth Ln, Louisville, Kentucky |
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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: 1215239801
- Provider Enumeration Date: 12/02/2010
- Last Update Date: 10/04/2012
Medicare PECOS Information:
- PECOS PAC ID: 9830342807
- Enrollment ID: I20231016001250
Medical Identifiers
Medical identifiers for Dr Gary Matthew Cusick such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1215239801 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | 1344 (Kentucky) | Secondary |
| 103T00000X | Psychologist | 1344 (Kentucky) | Secondary |
| 103TB0200X | Psychologist - Cognitive & Behavioral | 1344 (Kentucky) | Secondary |
| 103TC0700X | Psychologist - Clinical | 1344 (Kentucky) | Primary |
| 103TC1900X | Psychologist - Counseling | 1344 (Kentucky) | Secondary |
| 103TM1800X | Psychologist - Intellectual & Developmental Disabilities | 1344 (Kentucky) | Secondary |
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. Dr Gary Matthew Cusick allows following entities to bill medicare on his behalf.
| Entity Name | Grow Healthcare Group Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245845932
PECOS PAC ID: 3476961368
Enrollment ID: O20220604000237 |
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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. Dr Gary Matthew Cusick 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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Dr Gary Matthew Cusick, PHD
1206 Holsworth Lane,
Louisville, KY 40222-6616
Ph: () - | Dr Gary Matthew Cusick, PHD
1206 Holsworth Ln,
Louisville, KY 40222-6616
Ph: (502) 439-0398 |
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