Colin Richard Gillette, LMFT in Rockford, IL - Medicare Marriage & Family Therapist Provider

Colin Richard Gillette, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Rockford, Illinois. His current practice location is 8616 Northern Ave, Rockford, Illinois. You can reach out to his office (for appointments etc.) via phone at (815) 399-9700.

Colin Richard Gillette is licensed to practice in Illinois (license number 166000891) 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 1528190220.

Contact Information

	Colin Richard Gillette, LMFT
	8616 Northern Ave, Rockford, IL 61107-5309
	(815) 399-9700
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Colin Richard Gillette
Gender	Male
Speciality	Marriage & Family Therapist
Location	8616 Northern Ave, Rockford, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1528190220
Provider Enumeration Date: 03/09/2007
Last Update Date: 07/27/2022

Medicare PECOS Information:

PECOS PAC ID: 0042686388
Enrollment ID: I20250303002231

Medical Identifiers

Medical identifiers for Colin Richard Gillette such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528190220	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	166000891 (Illinois)	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. Colin Richard Gillette allows following entities to bill medicare on his behalf.

Entity Name	Forest View Counseling Services Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285366591 PECOS PAC ID: 5991226284 Enrollment ID: O20250303002195

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. Colin Richard Gillette 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
Colin Richard Gillette, LMFT 6975 Redansa Dr, Rockford, IL 61108-1201 Ph: (815) 391-0168	Colin Richard Gillette, LMFT 8616 Northern Ave, Rockford, IL 61107-5309 Ph: (815) 399-9700

Reviews and Comments

Marriage & Family Therapist in Rockford, IL

Allison M Bozovsky, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 5491 Longvalley Dr, Rockford, IL 61109 Phone: 224-307-6102
Gail Logemann, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 461 N Mulford Rd, Condo #1, Rockford, IL 61107 Phone: 815-395-1141 Fax: 815-395-1117
Michelle Mccabeschafer, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 1401 E State St, Rockford, IL 61104 Phone: 779-696-4834
Zella Moore, NP Couples Therapy Medicare: Medicare Enrolled Practice Location: 1639 N Alpine Rd, Suite 260, Rockford, IL 61107 Phone: 815-395-1500 Fax: 815-395-1415
Mrs. Sabrina Johnson, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 6653 Weaver Rd Ste 12, Rockford, IL 61114 Phone: 815-201-2687
Emily Gilliam, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 8616 Northern Ave, Rockford, IL 61107 Phone: 812-332-8003

Colin Richard Gillette, LMFT - Medicare Couples Therapy in Rockford, IL