Mr Curtis Gillespie, is a medicare enrolled "Social Worker - Clinical" provider in Springfield, Ohio. He graduated from healthcare school in 1979 and has 45 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Springfield Psychiatric Associates and his current practice location is
3162 El Camino Dr, Springfield, Ohio. You can reach out to his office (for appointments etc.) via phone at
(937) 342-9030.
Mr Curtis Gillespie is licensed to practice in Ohio (license number I.0001981-SUPV) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1134110117.
Healthcare Provider's Profile
| Full Name | Mr Curtis Gillespie |
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| Gender | Male |
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| Speciality | Clinical Social Worker |
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| Experience | 45 Years |
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| Location | 3162 El Camino Dr, Springfield, Ohio |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Curtis Gillespie graduated from medical school in 1979
NPI Data:
- NPI Number: 1134110117
- Provider Enumeration Date: 10/31/2005
- Last Update Date: 06/24/2019
Medicare PECOS Information:
- PECOS PAC ID: 1658270517
- Enrollment ID: I20170317001930
Medical Identifiers
Medical identifiers for Mr Curtis Gillespie such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1134110117 | NPI | - | NPPES |
| 197082000 | Other | OH | MAGELLAN |
| 000000004375 | Other | OH | ANTHEM |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LICDC.964481 (Ohio) | Secondary |
| 101YP2500X | Counselor - Professional | E.0001350-SUPV (Ohio) | Secondary |
| 1041C0700X | Social Worker - Clinical | I.0001981-SUPV (Ohio) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Springfield Psychiatric Associates | 4183514599 | 4 |
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. Mr Curtis Gillespie allows following entities to bill medicare on his behalf.
| Entity Name | Mental Health Services For Clark Co Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1982695706
PECOS PAC ID: 7810801032
Enrollment ID: O20040108000709 |
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| Entity Name | Springfield Psychiatric Associates |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1962541375
PECOS PAC ID: 4183514599
Enrollment ID: O20040318001159 |
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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. Mr Curtis Gillespie 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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Mr Curtis Gillespie,
2475 Wickliffe Rd,
Columbus, OH 43221-1835
Ph: () - | Mr Curtis Gillespie,
3162 El Camino Dr,
Springfield, OH 45503-1318
Ph: (937) 342-9030 |
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