Dr Mary Jean Gambrel, MD, MS is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Pineville, Kentucky. Her current practice location is
Po Box 634, Pineville, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(606) 224-2591.
Dr Mary Jean Gambrel is licensed to practice in Kentucky (license number 44482) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1013125160.
Physician's Profile
| Full Name | Dr Mary Jean Gambrel |
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| Gender | Female |
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| Speciality | Psychiatry & Neurology - Psychiatry |
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| Location | Po Box 634, Pineville, Kentucky |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1013125160
- Provider Enumeration Date: 05/21/2007
- Last Update Date: 05/03/2024
Medicare PECOS Information:
- PECOS PAC ID: 2466644380
- Enrollment ID: I20210714001868
Medical Identifiers
Medical identifiers for Dr Mary Jean Gambrel such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1013125160 | NPI | - | NPPES |
| 7100156270 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 44482 (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. Dr Mary Jean Gambrel allows following entities to bill medicare on her behalf.
| Entity Name | Commonwealth Of Kentucky |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1790816395
PECOS PAC ID: 9436122710
Enrollment ID: O20040816000397 |
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| Entity Name | Harbor Of Hope Medical And Behavioral Health Care, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1235774522
PECOS PAC ID: 2769811397
Enrollment ID: O20200402003220 |
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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. Dr Mary Jean Gambrel 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 |
|---|
Dr Mary Jean Gambrel, MD, MS
Po Box 634,
Pineville, KY 40977-0634
Ph: (606) 224-2591 | Dr Mary Jean Gambrel, MD, MS
Po Box 634,
Pineville, KY 40977-0634
Ph: (606) 224-2591 |
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