Mr Harley V Gullett, ACSW, LCSW in Nevada, MO - Medicare Social Worker Provider

Mr Harley V Gullett, ACSW, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Nevada, Missouri. His current practice location is 100 S Prewitt St, Nevada, Missouri. You can reach out to his office (for appointments etc.) via phone at (417) 667-8700.

Mr Harley V Gullett is licensed to practice in Missouri (license number 000440) 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 1265416770.

Contact Information

	Mr Harley V Gullett, ACSW, LCSW
	100 S Prewitt St, Nevada, MO 64772-1760
	(417) 667-8700
	(417) 667-7382

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Harley V Gullett
Gender	Male
Speciality	Social Worker - Clinical
Location	100 S Prewitt St, Nevada, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265416770
Provider Enumeration Date: 11/30/2005
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 6507753431
Enrollment ID: I20091215000014

Medical Identifiers

Medical identifiers for Mr Harley V Gullett such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265416770	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	000440 (Missouri)	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. Mr Harley V Gullett allows following entities to bill medicare on his behalf.

Entity Name	Allied Mental Health Consultants Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548596109 PECOS PAC ID: 1153461678 Enrollment ID: O20091215000017

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 Harley V Gullett 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 Harley V Gullett, ACSW, LCSW 100 S Prewitt St, Nevada, MO 64772-1760 Ph: (417) 667-8700	Mr Harley V Gullett, ACSW, LCSW 100 S Prewitt St, Nevada, MO 64772-1760 Ph: (417) 667-8700

Reviews and Comments

Social Worker in Nevada, MO

Chris F Thomas, PLCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 815 S Ash St, Nevada, MO 64772 Phone: 417-667-8352 Fax: 417-667-9216
Dewey Michael Morris, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1500 W Ashland St, Nevada, MO 64772 Phone: 417-667-2666 Fax: 417-448-5687
Jessica Marie La Falce, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 320 Mac Blvd, Nevada, MO 64772 Phone: 888-403-1071
Tiffany Ann Pruitt, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 210 S Elm St, Nevada, MO 64772 Phone: 417-684-2644 Fax: 417-682-5757
Jennifer Elizabeth Corbin-daulton, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1500 W Ashland St, Nevada, MO 64772 Phone: 417-667-2666 Fax: 417-448-5683
Callie Randel, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1500 W Ashland St, Nevada, MO 64772 Phone: 417-667-2666 Fax: 417-448-5606

Mr Harley V Gullett, ACSW, LCSW - Medicare Clinical Social Worker in Nevada, MO