Mr Leonard Joseph Gallagher Ii, PHYD is a medicare enrolled "Psychologist" provider in Brooklyn, Michigan. His current practice location is
451 Marshall St, Brooklyn, Michigan. You can reach out to his office (for appointments etc.) via phone at
(517) 414-0697.
Mr Leonard Joseph Gallagher Ii is licensed to practice in Michigan (license number 6301012470) 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 1619155058.
Healthcare Provider's Profile
Full Name | Mr Leonard Joseph Gallagher Ii |
---|
Gender | Male |
---|
Speciality | Psychologist |
---|
Location | 451 Marshall St, Brooklyn, Michigan |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1619155058
- Provider Enumeration Date: 02/07/2008
- Last Update Date: 03/17/2018
Medicare PECOS Information:
- PECOS PAC ID: 5698759496
- Enrollment ID: I20040617001272
Medical Identifiers
Medical identifiers for Mr Leonard Joseph Gallagher Ii such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619155058 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103T00000X | Psychologist | 6301012470 (Michigan) | Primary |
103T00000X | Psychologist | LG012470 (Michigan) | Secondary |
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 Leonard Joseph Gallagher Ii allows following entities to bill medicare on his behalf.
Entity Name | L J Gallagher Psyd And Associates Pllc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1518056365 PECOS PAC ID: 3375551864 Enrollment ID: O20060324000219 |
---|
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 Leonard Joseph Gallagher Ii 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 Leonard Joseph Gallagher Ii, PHYD Po Box 722, Brooklyn, MI 49230 Ph: (517) 414-0697 | Mr Leonard Joseph Gallagher Ii, PHYD 451 Marshall St, Brooklyn, MI 49230 Ph: (517) 414-0697 |
Reviews and Comments