Dr Mary Elizabeth Gates, PHD is a medicare enrolled "Counselor - Professional" provider in Laverne, Oklahoma. She graduated from healthcare school in 2006 and has 20 years of diverse experience with area of expertise as Mental Health Counselor. She is a member of the group practice Bmsc Az Llc, Blue Moon Of Colorado Llc and her current practice location is
18905 E 22 Rd, Laverne, Oklahoma. You can reach out to her office (for appointments etc.) via phone at
(580) 216-3847.
Dr Mary Elizabeth Gates is licensed to practice in Oklahoma (license number 10474) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1912131996.
Healthcare Provider's Profile
| Full Name | Dr Mary Elizabeth Gates |
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| Gender | Female |
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| Speciality | Mental Health Counselor |
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| Experience | 20 Years |
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| Location | 18905 E 22 Rd, Laverne, Oklahoma |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Mary Elizabeth Gates graduated from medical school in 2006
NPI Data:
- NPI Number: 1912131996
- Provider Enumeration Date: 05/06/2009
- Last Update Date: 04/03/2026
Medicare PECOS Information:
- PECOS PAC ID: 8729571823
- Enrollment ID: I20251206000185
Medical Identifiers
Medical identifiers for Dr Mary Elizabeth Gates such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1912131996 | NPI | - | NPPES |
| 2009294074A | Medicaid | OK | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | 10474 (Oklahoma) | Secondary |
| 101YP2500X | Counselor - Professional | LPC.0005033 (Colorado) | Secondary |
| 101YM0800X | Counselor - Mental Health | 0106 (Oklahoma) | Secondary |
| 101YM0800X | Counselor - Mental Health | 2167 (Oklahoma) | Secondary |
| 101YP2500X | Counselor - Professional | 10474 (Oklahoma) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Bmsc Az Llc | 4385929173 | 130 |
| Blue Moon Of Colorado Llc | 5698034791 | 6 |
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 Mary Elizabeth Gates 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 Mary Elizabeth Gates, PHD
18905 E 22 Rd,
Laverne, OK 73848-4834
Ph: (580) 216-3847 | Dr Mary Elizabeth Gates, PHD
18905 E 22 Rd,
Laverne, OK 73848-4834
Ph: (580) 216-3847 |
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