Kevin Gormley, ARNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" provider in Egg Harbor Township, New Jersey. His current practice location is
2500 English Creek Ave Ste 1002, Egg Harbor Township, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(609) 833-9933.
Kevin Gormley is licensed to practice in New Jersey (license number 26NJ01447300) 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 1962567552.
Healthcare Provider's Profile
| Full Name | Kevin Gormley |
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| Gender | Male |
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| Speciality | Nurse Practitioner - Psychiatric/mental Health |
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| Location | 2500 English Creek Ave Ste 1002, Egg Harbor Township, 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: 1962567552
- Provider Enumeration Date: 12/26/2006
- Last Update Date: 09/19/2024
Medicare PECOS Information:
- PECOS PAC ID: 9931467123
- Enrollment ID: I20171215002490
Medical Identifiers
Medical identifiers for Kevin Gormley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1962567552 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | 97974 (South Carolina) | Secondary |
| 363L00000X | Nurse Practitioner | ARNP9468054 (Florida) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 26NJ01447300 (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 Gormley allows following entities to bill medicare on his behalf.
| Entity Name | Inpatient Consultants Of Florida, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1396795597
PECOS PAC ID: 4789614785
Enrollment ID: O20050819000018 |
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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 Gormley 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 Gormley, ARNP
2500 English Creek Ave Ste 1002,
Egg Harbor Township, NJ 08234-5519
Ph: (609) 833-9933 | Kevin Gormley, ARNP
2500 English Creek Ave Ste 1002,
Egg Harbor Township, NJ 08234-5519
Ph: (609) 833-9933 |
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