Mr Edward Gaham Canada Iii, LPC in Glen Allen, VA

Mr Edward Gaham Canada Iii, LPC is a medicare enrolled "Counselor - Mental Health" provider in Glen Allen, Virginia. His current practice location is 4191 Innslake Dr Ste 211, Glen Allen, Virginia. You can reach out to his office (for appointments etc.) via phone at (804) 303-9622.

Mr Edward Gaham Canada Iii is licensed to practice in Virginia (license number 0701007956) 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 1952877995.

Contact Information

	Mr Edward Gaham Canada Iii, LPC
	4191 Innslake Dr Ste 211, Glen Allen, VA 23060-3324
	(804) 303-9622
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Edward Gaham Canada Iii
Gender	Male
Speciality	Counselor - Mental Health
Location	4191 Innslake Dr Ste 211, Glen Allen, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1952877995
Provider Enumeration Date: 10/17/2018
Last Update Date: 09/05/2024

Medicare PECOS Information:

PECOS PAC ID: 9032552310
Enrollment ID: I20240205001116

Medical Identifiers

Medical identifiers for Mr Edward Gaham Canada Iii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952877995	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	0701007956 (Virginia)	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 Edward Gaham Canada Iii allows following entities to bill medicare on his behalf.

Entity Name	Zoe Therapy Services, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215352521 PECOS PAC ID: 2769603901 Enrollment ID: O20141031001467

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 Edward Gaham Canada Iii 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 Edward Gaham Canada Iii, LPC 4191 Innslake Dr Ste 211, Glen Allen, VA 23060-3324 Ph: (804) 303-9622	Mr Edward Gaham Canada Iii, LPC 4191 Innslake Dr Ste 211, Glen Allen, VA 23060-3324 Ph: (804) 303-9622

Reviews and Comments

Counselor in Glen Allen, VA

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Michelle E Kyles, LPC Counselor Medicare: Medicare Enrolled Practice Location: 10015 W Broad St, Glen Allen, VA 23060 Phone: 804-250-6028
Donald Clayton Parks, LPC, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 5352 Twin Hickory Rd, Glen Allen, VA 23059 Phone: 804-592-2793 Fax: 804-592-2794
Mr. Mike Walsh, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 10299 Woodman Rd, Glen Allen, VA 23060 Phone: 804-836-4499 Fax: 804-727-8480
Briana Sinden, MED Counselor Medicare: Not Enrolled in Medicare Practice Location: 4112 Innslake Dr Ste B, Glen Allen, VA 23060 Phone: 703-534-5100

Mr Edward Gaham Canada Iii, LPC - Medicare Counselor in Glen Allen, VA