Dr Connor Lee Gallik, PHD in Seattle, WA - Medicare Psychologist Provider

Dr Connor Lee Gallik, PHD is a medicare enrolled "Psychologist - Clinical Child & Adolescent" provider in Seattle, Washington. His current practice location is 4800 Sand Point Way Ne, Ra.5.120, Seattle, Washington. You can reach out to his office (for appointments etc.) via phone at (206) 987-3414.

Dr Connor Lee Gallik is licensed to practice in Washington (license number PY61271302) 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 1790394880.

Contact Information

	Dr Connor Lee Gallik, PHD
	4800 Sand Point Way Ne, Ra.5.120, Seattle, WA 98105
	(206) 987-3414
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Connor Lee Gallik
Gender	Male
Speciality	Psychologist - Clinical Child & Adolescent
Location	4800 Sand Point Way Ne, Seattle, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790394880
Provider Enumeration Date: 07/24/2020
Last Update Date: 09/18/2022

Medicare PECOS Information:

PECOS PAC ID: 1557747219
Enrollment ID: I20221003002895

Medical Identifiers

Medical identifiers for Dr Connor Lee Gallik such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790394880	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC2200X	Psychologist - Clinical Child & Adolescent	PY61271302 (Washington)	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 Connor Lee Gallik allows following entities to bill medicare on his behalf.

Entity Name	The Association Of Chrmc And University Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255449963 PECOS PAC ID: 9133032964 Enrollment ID: O20031107000585

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 Connor Lee Gallik 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 Connor Lee Gallik, PHD 4800 Sand Point Way Ne, Ra.5.120, Seattle, WA 98105 Ph: () -	Dr Connor Lee Gallik, PHD 4800 Sand Point Way Ne, Ra.5.120, Seattle, WA 98105 Ph: (206) 987-3414

Reviews and Comments

Psychologist in Seattle, WA

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Dr. Jane Kate Harmon Jacobs, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5410 California Ave Sw, Suite 201, Seattle, WA 98136 Phone: 206-683-6512
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Dr Connor Lee Gallik, PHD - Medicare Psychologist in Seattle, WA