Robert Willson Gillen, PHD is a medicare enrolled "Clinical Neuropsychologist" provider in Albany, New York. His current practice location is
215 Washington Avenue Ext, Albany, New York. You can reach out to his office (for appointments etc.) via phone at
(518) 452-0914.
Robert Willson Gillen is licensed to practice in New York (license number 7574) 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 1245220227.
Healthcare Provider's Profile
Full Name | Robert Willson Gillen |
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Gender | Male |
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Speciality | Clinical Neuropsychologist |
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Location | 215 Washington Avenue Ext, Albany, New York |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1245220227
- Provider Enumeration Date: 10/21/2005
- Last Update Date: 05/19/2021
Medicare PECOS Information:
- PECOS PAC ID: 1456319656
- Enrollment ID: I20041220000799
Medical Identifiers
Medical identifiers for Robert Willson Gillen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1245220227 | NPI | - | NPPES |
01698773 | Medicaid | NY | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103T00000X | Psychologist | 007574 (New York) | Secondary |
103G00000X | Clinical Neuropsychologist | 7574 (New York) | 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. Robert Willson Gillen allows following entities to bill medicare on his behalf.
Entity Name | Albany Medical College |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1629008537 PECOS PAC ID: 1759293111 Enrollment ID: O20031125000386 |
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Entity Name | Sunnyview Hospital And Rehabilitation Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1578664470 PECOS PAC ID: 5496743072 Enrollment ID: O20040503001373 |
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Entity Name | Albany Medical College |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1497921688 PECOS PAC ID: 1759293111 Enrollment ID: O20190320001621 |
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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. Robert Willson Gillen 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 |
Robert Willson Gillen, PHD 215 Washington Avenue Ext, Albany, NY 12205-5534 Ph: (518) 452-0914 | Robert Willson Gillen, PHD 215 Washington Avenue Ext, Albany, NY 12205-5534 Ph: (518) 452-0914 |
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