Dr Pamela Anita Gulley, EDD in Fairfield, OH - Medicare Psychologist Provider

Dr Pamela Anita Gulley, EDD is a medicare enrolled "Psychologist" provider in Fairfield, Ohio. Her current practice location is 1251 Nilles Rd Ste 5, Fairfield, Ohio. You can reach out to her office (for appointments etc.) via phone at (513) 939-0300.

Dr Pamela Anita Gulley is licensed to practice in Ohio (license number 3567) 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 1215150123.

Contact Information

	Dr Pamela Anita Gulley, EDD
	1251 Nilles Rd Ste 5, Fairfield, OH 45014-7205
	(513) 939-0300
	(513) 939-0310

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Pamela Anita Gulley
Gender	Female
Speciality	Psychologist
Location	1251 Nilles Rd Ste 5, Fairfield, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215150123
Provider Enumeration Date: 04/10/2007
Last Update Date: 12/03/2018

Medicare PECOS Information:

PECOS PAC ID: 2769816537
Enrollment ID: I20200102002582

Medical Identifiers

Medical identifiers for Dr Pamela Anita Gulley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215150123	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC2200X	Psychologist - Clinical Child & Adolescent	3567 (Ohio)	Secondary
103TF0000X	Psychologist - Family	3567 (Ohio)	Secondary
103T00000X	Psychologist	3567 (Ohio)	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 Pamela Anita Gulley allows following entities to bill medicare on her behalf.

Entity Name	Mindfully Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972702520 PECOS PAC ID: 3476606252 Enrollment ID: O20090727000253

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 Pamela Anita Gulley 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 Pamela Anita Gulley, EDD 1251 Nilles Rd Ste 5, Fairfield, OH 45014-7205 Ph: (513) 939-0300	Dr Pamela Anita Gulley, EDD 1251 Nilles Rd Ste 5, Fairfield, OH 45014-7205 Ph: (513) 939-0300

Reviews and Comments

Psychologist in Fairfield, OH

Cheryl Lykins, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 255 Donald Dr, Fairfield, OH 45014 Phone: 513-829-4504
Dr. Chris H. Modrall, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1248 Nilles Rd, Suite 8, Fairfield, OH 45014 Phone: 513-269-4218 Fax: 513-829-2830
Robyn Lynn Coleman, ED.S., NCSP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2810 Mack Rd, Fairfield, OH 45014 Phone: 513-545-6326
Dr. Mark Richard Schroder, PSY. D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2810 Mack Road, Fairfield, OH 45014 Phone: 513-874-4530 Fax: 513-346-3811
Kayla Mccormick, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 255 Donald Dr, Fairfield, OH 45014 Phone: 513-829-4504
Dr. David J Greenwald, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6580 Sosna Dr, Fairfield, OH 45014 Phone: 513-942-3304

Dr Pamela Anita Gulley, EDD - Medicare Psychologist in Fairfield, OH