Mr Ernest Glenn Gorleski, NFP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" physician in Havre De Grace, Maryland. His current practice location is
913 Eugene Dr, Havre De Grace, Maryland. You can reach out to his office (for appointments etc.) via phone at
(443) 768-7378.
Mr Ernest Glenn Gorleski is licensed to practice in Maryland (license number R224004) 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 1548909500.
Physician's Profile
Full Name | Mr Ernest Glenn Gorleski |
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Gender | Male |
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Speciality | Nurse Practitioner - Psychiatric/mental Health |
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Location | 913 Eugene Dr, Havre De Grace, Maryland |
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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: 1548909500
- Provider Enumeration Date: 05/29/2022
- Last Update Date: 02/14/2024
Medicare PECOS Information:
- PECOS PAC ID: 9436532421
- Enrollment ID: I20220824002335
Medical Identifiers
Medical identifiers for Mr Ernest Glenn Gorleski such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1548909500 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | R224004 (Maryland) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | R224004 (Maryland) | 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 Ernest Glenn Gorleski allows following entities to bill medicare on his behalf.
Entity Name | Toller Enterprises, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1821697533 PECOS PAC ID: 8628481926 Enrollment ID: O20210105002952 |
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Entity Name | Infinite Medical Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1407483175 PECOS PAC ID: 8325477656 Enrollment ID: O20220727000048 |
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Entity Name | Spiritual Healing |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1003502337 PECOS PAC ID: 7113388802 Enrollment ID: O20230727002041 |
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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 Ernest Glenn Gorleski 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 Ernest Glenn Gorleski, NFP-BC 913 Eugene Dr, Havre De Grace, MD 21078-2331 Ph: (443) 768-7378 | Mr Ernest Glenn Gorleski, NFP-BC 913 Eugene Dr, Havre De Grace, MD 21078-2331 Ph: (443) 768-7378 |
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