Nickolaus H Gastil, PSYCH in Bloomington, IN - Medicare Psychologist Provider

Nickolaus H Gastil, PSYCH is a medicare enrolled "Psychologist" provider in Bloomington, Indiana. His current practice location is 645 S Rogers St, Bloomington, Indiana. You can reach out to his office (for appointments etc.) via phone at (812) 314-3400.

Nickolaus H Gastil is licensed to practice in Indiana (license number 20043859A) 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 1053139808.

Contact Information

	Nickolaus H Gastil, PSYCH
	645 S Rogers St, Bloomington, IN 47403-2353
	(812) 314-3400
	(812) 337-2438

Map and Direction

Healthcare Provider's Profile

Full Name	Nickolaus H Gastil
Gender	Male
Speciality	Psychologist
Location	645 S Rogers St, Bloomington, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053139808
Provider Enumeration Date: 10/01/2024
Last Update Date: 10/01/2024

Medicare PECOS Information:

PECOS PAC ID: 7810420742
Enrollment ID: I20241030001578

Medical Identifiers

Medical identifiers for Nickolaus H Gastil such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053139808	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	20043859A (Indiana)	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. Nickolaus H Gastil allows following entities to bill medicare on his behalf.

Entity Name	Centerstone Of Indiana, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992781470 PECOS PAC ID: 9436138427 Enrollment ID: O20040830000711

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. Nickolaus H Gastil 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
Nickolaus H Gastil, PSYCH 645 S Rogers St, Bloomington, IN 47403-2353 Ph: (812) 314-3400	Nickolaus H Gastil, PSYCH 645 S Rogers St, Bloomington, IN 47403-2353 Ph: (812) 314-3400

Reviews and Comments

Psychologist in Bloomington, IN

Dr. Jennifer Michael Spencer, PHD HSPP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 631 N College Ave, Bloomington, IN 47404 Phone: 812-333-8474
Dr. Carolyn Louise Lee, PH.D., ABPP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 600 N Jordan Ave, Bloomington, IN 47405 Phone: 812-855-5711
Dr. Jack E. Thomas, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2108 S Locust Ct, Bloomington, IN 47401 Phone: 812-325-6877
Michele Koselke, PSYD, HSPP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 205 N College Ave Ste 312, Bloomington, IN 47404 Phone: 317-941-3258 Fax: 317-534-3677
Dr. Kodee Walls, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 600 N Eagleson Ave, Bloomington, IN 47405 Phone: 812-855-5711
Sydney F Anderson, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 637 N College Ave, Bloomington, IN 47404 Phone: 812-331-2800

Nickolaus H Gastil, PSYCH - Medicare Psychologist in Bloomington, IN