Dr Gary Wayne Osborne, LPC, MHSP is a medicare enrolled "Counselor - Mental Health" provider in Humboldt, Tennessee. He went to Liberty Univ College Of Osteopathic Medicine and graduated in 1999 and has 27 years of diverse experience with area of expertise as Mental Health Counselor. He is a member of the group practice Sdg Primary And Immediate Care Llc and his current practice location is
1629 E Main St, Humboldt, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(731) 618-0266.
Dr Gary Wayne Osborne is licensed to practice in Tennessee (license number LPC583) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1891880209.
Healthcare Provider's Profile
| Full Name | Dr Gary Wayne Osborne |
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| Gender | Male |
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| Speciality | Mental Health Counselor |
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| Experience | 27 Years |
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| Location | 1629 E Main St, Humboldt, Tennessee |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Gary Wayne Osborne attended and graduated from Liberty Univ College Of Osteopathic Medicine in 1999
NPI Data:
- NPI Number: 1891880209
- Provider Enumeration Date: 10/03/2006
- Last Update Date: 11/20/2024
Medicare PECOS Information:
- PECOS PAC ID: 8325036106
- Enrollment ID: I20240215004401
Medical Identifiers
Medical identifiers for Dr Gary Wayne Osborne such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1891880209 | NPI | - | NPPES |
| 3102484 | Other | TN | BCBS |
| 7017081 | Other | | AETNA |
| 229202000 | Other | | MAGELLAN HEALTH SERVICES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | LPC583 (Tennessee) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Sdg Primary And Immediate Care Llc | 2264758689 | 4 |
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. Dr Gary Wayne Osborne allows following entities to bill medicare on his behalf.
| Entity Name | Sdg Primary And Immediate Care Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1225437585
PECOS PAC ID: 2264758689
Enrollment ID: O20150303000316 |
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| Entity Name | Gary Osborne Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1366609943
PECOS PAC ID: 4284078445
Enrollment ID: O20240215004394 |
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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. Dr Gary Wayne Osborne 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 |
|---|
Dr Gary Wayne Osborne, LPC, MHSP
113 Rolling Oaks Dr,
Humboldt, TN 38343-8586
Ph: (731) 618-0055 | Dr Gary Wayne Osborne, LPC, MHSP
1629 E Main St,
Humboldt, TN 38343
Ph: (731) 618-0266 |
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