Gordon Bruce Wilson, LCSW in Kingston, PA - Medicare Counselor Provider

Gordon Bruce Wilson, LCSW is a medicare enrolled "Counselor - Mental Health" provider in Kingston, Pennsylvania. His current practice location is 562 Wyoming Ave, Kingston, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (570) 552-3760.

Gordon Bruce Wilson is licensed to practice in Pennsylvania (license number CWO13852) 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 1477793271.

Contact Information

	Gordon Bruce Wilson, LCSW
	562 Wyoming Ave, Kingston, PA 18704-3721
	(570) 552-3760
	(570) 552-3765

Map and Direction

Healthcare Provider's Profile

Full Name	Gordon Bruce Wilson
Gender	Male
Speciality	Counselor - Mental Health
Location	562 Wyoming Ave, Kingston, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477793271
Provider Enumeration Date: 03/06/2009
Last Update Date: 03/06/2009

Medicare PECOS Information:

PECOS PAC ID: 1658638093
Enrollment ID: I20171120002695

Medical Identifiers

Medical identifiers for Gordon Bruce Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477793271	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	CWO13852 (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. Gordon Bruce Wilson allows following entities to bill medicare on his behalf.

Entity Name	Childrens Service Center Of Wyoming Valley Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700861242 PECOS PAC ID: 1052567617 Enrollment ID: O20170609001473

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. Gordon Bruce Wilson 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
Gordon Bruce Wilson, LCSW 562 Wyoming Ave, Kingston, PA 18704-3721 Ph: (570) 552-3760	Gordon Bruce Wilson, LCSW 562 Wyoming Ave, Kingston, PA 18704-3721 Ph: (570) 552-3760

Reviews and Comments

Counselor in Kingston, PA

Dr. Stephen M Timchack, PSYD, BCBA-D Counselor Medicare: Accepting Medicare Assignments Practice Location: 480 Pierce St, Suite 119, Kingston, PA 18704 Phone: 570-714-1981 Fax: 570-714-1983
Denise Tomsak, CAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 562 Wyoming Ave, Kingston, PA 18704 Phone: 570-552-3700 Fax: 570-552-3705
Mr. Brian Cook, NCC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 480 Pierce St Ste 108, Kingston, PA 18704 Phone: 570-262-4788
Mr. Cory Ian Shafer, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 675 Wyoming Ave, Kingston, PA 18704 Phone: 570-332-2093
Mr. Michael Allen Ide, LSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 562 Wyoming Avenue, Choices, Kingston, PA 18704 Phone: 570-552-3700 Fax: 570-552-3705
Virginia Irene Anderson, MA NCC LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 400 3rd Ave Ste 218, Kingston, PA 18704 Phone: 267-702-5350 Fax: 570-714-2878
Lauren Hudak, Counselor Medicare: Not Enrolled in Medicare Practice Location: 480 Pierce St Ste 108, Kingston, PA 18704 Phone: 570-855-8787

Gordon Bruce Wilson, LCSW - Medicare Counselor in Kingston, PA