Dr Gary Paul Kanabay, PSYD in Mansfield Center, CT

Dr Gary Paul Kanabay, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Mansfield Center, Connecticut. His current practice location is 207 Storrs Rd # 174, Mansfield Center, Connecticut. You can reach out to his office (for appointments etc.) via phone at (860) 456-4604.

Dr Gary Paul Kanabay is licensed to practice in Connecticut (license number 001188) 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 1164521753.

Contact Information

	Dr Gary Paul Kanabay, PSYD
	207 Storrs Rd # 174, Mansfield Center, CT 06250-1638
	(860) 456-4604
	(860) 456-1738

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Gary Paul Kanabay
Gender	Male
Speciality	Psychologist - Clinical
Location	207 Storrs Rd # 174, Mansfield Center, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164521753
Provider Enumeration Date: 09/21/2006
Last Update Date: 05/01/2014

Medicare PECOS Information:

PECOS PAC ID: 7618985540
Enrollment ID: I20120112000321

Medical Identifiers

Medical identifiers for Dr Gary Paul Kanabay such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164521753	NPI	-	NPPES
004070595	Medicaid	CT
107944	Other		VALUE OPTIONS
2448873	Other		AETNA
C007612	Other		TRICARE
060001188CT01	Other	CT	ANTHEM
080329	Other		MHN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	001188 (Connecticut)	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 Gary Paul Kanabay allows following entities to bill medicare on his behalf.

Entity Name	Professional Resource Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710019963 PECOS PAC ID: 5890703722 Enrollment ID: O20060404000007

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 Gary Paul Kanabay 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 Gary Paul Kanabay, PSYD 207 Storrs Rd # 174, Mansfield Center, CT 06250-1638 Ph: (860) 456-4604	Dr Gary Paul Kanabay, PSYD 207 Storrs Rd # 174, Mansfield Center, CT 06250-1638 Ph: (860) 456-4604

Reviews and Comments

Psychologist in Mansfield Center, CT

Dr. Suzanne Ciaramella, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6 Storrs Rd, Suite #3, Mansfield Center, CT 06250 Phone: 860-423-6572
Andre P. Bessette, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 155a Storrs Rd., A, Mansfield Center, CT 06250 Phone: 860-456-4442 Fax: 860-456-4068
Amy A Gorin, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 18 Ledgebrook Dr, Mansfield Center, CT 06250 Phone: 860-634-1925
Lori Ann Vanmeter, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 155 Storrs Rd # A, Mansfield Center, CT 06250 Phone: 860-456-4442
Jennifer M Fox, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1066 Storrs Rd, Mansfield Center, CT 06268 Phone: 860-977-8290
Dr. Inge-marie Eigsti, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 207 Storrs Rd, Mansfield Center, CT 06250 Phone: 860-456-4605 Fax: 860-456-1738

Dr Gary Paul Kanabay, PSYD - Medicare Psychologist in Mansfield Center, CT