Kevin Gallagher, LCSW, LCADC is a medicare enrolled "Social Worker - Clinical" provider in Piscataway, New Jersey. His current practice location is
371 Hoes Ln, Piscataway, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(732) 982-2888.
Kevin Gallagher is licensed to practice in New Jersey (license number 44SC06032300) 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 1912784125.
Healthcare Provider's Profile
| Full Name | Kevin Gallagher |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 371 Hoes Ln, Piscataway, New Jersey |
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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: 1912784125
- Provider Enumeration Date: 09/11/2023
- Last Update Date: 09/11/2023
Medicare PECOS Information:
- PECOS PAC ID: 6507218278
- Enrollment ID: I20240118000553
Medical Identifiers
Medical identifiers for Kevin Gallagher such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1912784125 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 37LC00363900 (New Jersey) | Secondary |
| 1041C0700X | Social Worker - Clinical | 44SC06032300 (New Jersey) | 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. Kevin Gallagher allows following entities to bill medicare on his behalf.
| Entity Name | New Jersey Behavioral Health Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1538744297
PECOS PAC ID: 4284001025
Enrollment ID: O20221108000033 |
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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. Kevin Gallagher 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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Kevin Gallagher, LCSW, LCADC
371 Hoes Ln,
Piscataway, NJ 08854-4143
Ph: () - | Kevin Gallagher, LCSW, LCADC
371 Hoes Ln,
Piscataway, NJ 08854-4143
Ph: (732) 982-2888 |
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