Geoffrey A Gadow, MA is a medicare enrolled "Counselor - Professional" provider in Mansfield, Pennsylvania. His current practice location is
1550 S Main St, Mansfield, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(570) 662-7954.
Geoffrey A Gadow is licensed to practice in Pennsylvania (license number PC012350) 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 1740357326.
Healthcare Provider's Profile
Full Name | Geoffrey A Gadow |
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Gender | Male |
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Speciality | Counselor - Professional |
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Location | 1550 S Main St, Mansfield, Pennsylvania |
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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: 1740357326
- Provider Enumeration Date: 11/29/2006
- Last Update Date: 08/06/2020
Medicare PECOS Information:
- PECOS PAC ID: 7012350671
- Enrollment ID: I20240210000177
Medical Identifiers
Medical identifiers for Geoffrey A Gadow such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1740357326 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
101YP2500X | Counselor - Professional | CC4468 (Maine) | Secondary |
101YP2500X | Counselor - Professional | PC012350 (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. Geoffrey A Gadow allows following entities to bill medicare on his behalf.
Entity Name | Northern Tier Counseling, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1346267374 PECOS PAC ID: 7113997354 Enrollment ID: O20040727000681 |
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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. Geoffrey A Gadow 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 |
Geoffrey A Gadow, MA 113 Hickey Rd, Wellsboro, PA 16901-8116 Ph: (715) 314-1032 | Geoffrey A Gadow, MA 1550 S Main St, Mansfield, PA 16933-9586 Ph: (570) 662-7954 |
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