Mr David Randall Gayheart, PHD is a medicare enrolled "Psychologist - Clinical" provider in Hazard, Kentucky. His current practice location is
115 Rockwood Ln, Hazard, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(800) 262-7491.
Mr David Randall Gayheart is licensed to practice in Kentucky (license number 287242) 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 1275270555.
Healthcare Provider's Profile
Full Name | Mr David Randall Gayheart |
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Gender | Male |
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Speciality | Psychologist - Clinical |
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Location | 115 Rockwood Ln, Hazard, Kentucky |
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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: 1275270555
- Provider Enumeration Date: 05/17/2022
- Last Update Date: 11/15/2023
Medicare PECOS Information:
- PECOS PAC ID: 7618328303
- Enrollment ID: I20240226000464
Medical Identifiers
Medical identifiers for Mr David Randall Gayheart such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1275270555 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 240559 (Kentucky) | Secondary |
103TC0700X | Psychologist - Clinical | 287242 (Kentucky) | 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. Mr David Randall Gayheart allows following entities to bill medicare on his behalf.
Entity Name | Kentucky River Community Care Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1528017142 PECOS PAC ID: 3870481229 Enrollment ID: O20040308000506 |
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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 David Randall Gayheart 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 |
Mr David Randall Gayheart, PHD 115 Rockwood Ln, Hazard, KY 41701-9415 Ph: (800) 575-7223 | Mr David Randall Gayheart, PHD 115 Rockwood Ln, Hazard, KY 41701-9415 Ph: (800) 262-7491 |
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