Mr Douglas Paul Gorman Jr, MHC in Tampa, FL - Medicare Counselor Provider

Mr Douglas Paul Gorman Jr, MHC is a medicare enrolled "Counselor - Mental Health" provider in Tampa, Florida. His current practice location is 6323 Memorial Hwy Bldg A, Tampa, Florida. You can reach out to his office (for appointments etc.) via phone at (813) 891-9474.

Mr Douglas Paul Gorman Jr is licensed to practice in Florida (license number IMH8949) 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 1972848711.

Contact Information

	Mr Douglas Paul Gorman Jr, MHC
	6323 Memorial Hwy Bldg A, Tampa, FL 33615-4509
	(813) 891-9474
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Douglas Paul Gorman Jr
Gender	Male
Speciality	Counselor - Mental Health
Location	6323 Memorial Hwy Bldg A, Tampa, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1972848711
Provider Enumeration Date: 12/05/2012
Last Update Date: 12/05/2012

Medicare PECOS Information:

PECOS PAC ID: 6608224555
Enrollment ID: I20231203000086

Medical Identifiers

Medical identifiers for Mr Douglas Paul Gorman Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972848711	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	IMH8949 (Florida)	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 Douglas Paul Gorman Jr allows following entities to bill medicare on his behalf.

Entity Name	Thriveworks Clinical - Florida Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396360996 PECOS PAC ID: 5496173577 Enrollment ID: O20200922002675

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 Douglas Paul Gorman Jr 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 Douglas Paul Gorman Jr, MHC 7213 N Duncan Ave, Tampa, FL 33604-5407 Ph: (401) 497-2180	Mr Douglas Paul Gorman Jr, MHC 6323 Memorial Hwy Bldg A, Tampa, FL 33615-4509 Ph: (813) 891-9474

Reviews and Comments

Counselor in Tampa, FL

Dr. Matthew Paul Hill, PH.D., LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6107 Memorial Hwy Ste E3, Tampa, FL 33615 Phone: 570-351-3193 Fax: 813-200-1253
Miss Leighann Schaffer, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6800 N Dale Mabry Hwy Ste 164, Tampa, FL 33614 Phone: 813-443-4827
Melina Scally, PSY.D. Counselor Medicare: Accepting Medicare Assignments Practice Location: 2109 E Palm Ave Ste 201, Tampa, FL 33605 Phone: 813-360-0741
Dr. Jesse Daniel Collins, PHD, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 15310 Amberly Dr Ste 250, Tampa, FL 33647 Phone: 813-376-6234
Betsy Rose Rodriguez, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1101 E Cumberland Ave # 201h-132, Tampa, FL 33602 Phone: 754-300-8107
Trinawa Anigel Murrill, MSW, RCSWI Counselor Medicare: Not Enrolled in Medicare Practice Location: 5707 N 22nd St, Tampa, FL 33610 Phone: 813-239-8069 Fax: 813-231-7324
Maricarmen Cruz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 16506 N Dale Mabry Hwy, Tampa, FL 33618 Phone: 813-773-2743

Mr Douglas Paul Gorman Jr, MHC - Medicare Counselor in Tampa, FL