Dr Michael John Gousy, OD - Medicare Optometrist in West Springfield, MA

Dr Michael John Gousy, OD is a medicare enrolled "Optometrist" provider in West Springfield, Massachusetts. He went to New England College Of Optometry and graduated in 1988 and has 36 years of diverse experience with area of expertise as Optometry. His current practice location is 120 Westfield St, West Springfield, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (413) 733-2318.

Dr Michael John Gousy is licensed to practice in Massachusetts (license number 3427) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1689761561.

Contact Information

Dr Michael John Gousy, OD
120 Westfield St,
West Springfield, MA 01089-2508
(413) 733-2318
(413) 732-4824

Map and Direction




Healthcare Provider's Profile

Full NameDr Michael John Gousy
GenderMale
SpecialityOptometry
Experience36 Years
Location120 Westfield St, West Springfield, Massachusetts
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Michael John Gousy attended and graduated from New England College Of Optometry in 1988
  NPI Data:
  • NPI Number: 1689761561
  • Provider Enumeration Date: 10/10/2006
  • Last Update Date: 11/12/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 2961473699
  • Enrollment ID: I20040804001653

Medical Identifiers

Medical identifiers for Dr Michael John Gousy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689761561NPI-NPPES
24651OtherMAHEALTH NEW ENGLAND
730566OtherMACONNCETICARE
2110327OtherMAAETNA
0369446MedicaidMA
000000021089OtherMABMC HEALTH NET PLAN
102459OtherMACIGNA
W15909OtherMABLUE CROSS BLUE SHEILD
763475OtherMATUFTS HEALTH PLAN
152198OtherMAHARVARD PILGRIM HEALTH PL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 3427 (Massachusetts)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 Michael John Gousy allows following entities to bill medicare on his behalf.
Provider NameMichael J Gousy, Od Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1396886479
PECOS PAC ID: 5294891693
Enrollment ID: O20090311000022

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 Michael John Gousy 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 AddressPractice Location Address
Dr Michael John Gousy, OD
120 Westfield St,
West Springfield, MA 01089-2508

Ph: (413) 733-2318
Dr Michael John Gousy, OD
120 Westfield St,
West Springfield, MA 01089-2508

Ph: (413) 733-2318

Reviews and Comments


Optometrist in West Springfield, MA

Dr. Janessa Patel, OD
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 180 Daggett Dr, West Springfield, MA 01089
Phone: 413-452-4111    
Thomas Patrick Mangan, OD
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 119 Daggett Drive, West Springfield, MA 01089
Phone: 413-747-5527    Fax: 413-523-4445
Longwood Eye, Llc
Optometrist
Medicare: Medicare Enrolled
Practice Location: 180 Daggett Dr, West Springfield, MA 01089
Phone: 413-452-4111    
Longwood Eye, Llc
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 180 Daggett Dr, West Springfield, MA 01089
Phone: 413-452-4111    Fax: 413-773-7596

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.