Mr Michael Dean Gusack, LPC in Broomfield, CO

Mr Michael Dean Gusack, LPC is a medicare enrolled "Counselor - Mental Health" provider in Broomfield, Colorado. His current practice location is 645 Eldorado Blvd Apt 1213, Broomfield, Colorado. You can reach out to his office (for appointments etc.) via phone at (850) 737-0022.

Mr Michael Dean Gusack is licensed to practice in Colorado (license number LPC.0015851) 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 1548285158.

Contact Information

	Mr Michael Dean Gusack, LPC
	645 Eldorado Blvd Apt 1213, Broomfield, CO 80021-8835
	(850) 737-0022
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Michael Dean Gusack
Gender	Male
Speciality	Counselor - Mental Health
Location	645 Eldorado Blvd Apt 1213, Broomfield, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1548285158
Provider Enumeration Date: 07/13/2006
Last Update Date: 05/27/2020

Medicare PECOS Information:

PECOS PAC ID: 6507201704
Enrollment ID: I20240227004401

Medical Identifiers

Medical identifiers for Mr Michael Dean Gusack such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548285158	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	LPC.0015851 (Colorado)	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 Michael Dean Gusack allows following entities to bill medicare on his behalf.

Entity Name	Sondermind Provider Network Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210113002826

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 Michael Dean Gusack 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 Michael Dean Gusack, LPC 645 Eldorado Blvd Apt 1213, Broomfield, CO 80021-8835 Ph: (850) 737-0022	Mr Michael Dean Gusack, LPC 645 Eldorado Blvd Apt 1213, Broomfield, CO 80021-8835 Ph: (850) 737-0022

Reviews and Comments

Counselor in Broomfield, CO

Katrina Whitehead, MA,LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1176 Opal St, Broomfield, CO 80020 Phone: 720-628-9238
Melissa Rose Rank, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3303 W 144th Ave Unit 204, Broomfield, CO 80023 Phone: 720-709-2810
Mrs. Shirell Renee White, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2605 W 144th Ave, Broomfield, CO 80023 Phone: 720-588-9190
Kevala Kenna, Counselor Medicare: Not Enrolled in Medicare Practice Location: 17025 Melody Dr, Broomfield, CO 80023 Phone: 720-296-0257
Brandi Gillen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 350 Interlocken Blvd Ste 100, Broomfield, CO 80021 Phone: 720-773-8727
Grae Ferrer Roda, Counselor Medicare: Not Enrolled in Medicare Practice Location: 125 Breckenridge Trl, Broomfield, CO 80020 Phone: 720-840-0191
Carolyn Ann Stubbs, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 750 Burbank St, Broomfield, CO 80020 Phone: 720-583-4182

Mr Michael Dean Gusack, LPC - Medicare Counselor in Broomfield, CO