Dr Karen Gongola, DOCTOR PSYCHOTHERAPY in Russellville, AR

Dr Karen Gongola, DOCTOR PSYCHOTHERAPY is a medicare enrolled "Counselor - Mental Health" provider in Russellville, Arkansas. Her current practice location is 1305 E Main St, Russellville, Arkansas. You can reach out to her office (for appointments etc.) via phone at (479) 393-9866.

Dr Karen Gongola is licensed to practice in Arkansas (license number P0512076) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1275784506.

Contact Information

	Dr Karen Gongola, DOCTOR PSYCHOTHERAPY
	1305 E Main St, Russellville, AR 72801-5322
	(479) 393-9866
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Karen Gongola
Gender	Female
Speciality	Counselor - Mental Health
Location	1305 E Main St, Russellville, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1275784506
Provider Enumeration Date: 10/06/2008
Last Update Date: 04/17/2024

Medicare PECOS Information:

PECOS PAC ID: 8820435159
Enrollment ID: I20241127000608

Medical Identifiers

Medical identifiers for Dr Karen Gongola such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275784506	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	P0512076 (Arkansas)	Primary
101YP2500X	Counselor - Professional	P0512076 (Arkansas)	Secondary

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 Karen Gongola allows following entities to bill medicare on her behalf.

Entity Name	Inhope Counseling Services Company
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023496262 PECOS PAC ID: 7911344247 Enrollment ID: O20240322001255

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 Karen Gongola 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 Karen Gongola, DOCTOR PSYCHOTHERAPY 1305 East Main Street, Russellville, AR 72801-5322 Ph: (479) 393-9866	Dr Karen Gongola, DOCTOR PSYCHOTHERAPY 1305 E Main St, Russellville, AR 72801-5322 Ph: (479) 393-9866

Reviews and Comments

Counselor in Russellville, AR

Megan Roshawn Ford, Counselor Medicare: Not Enrolled in Medicare Practice Location: 110 Skyline Dr, Russellville, AR 72801 Phone: 479-967-5570 Fax: 479-890-5364
Raven Cruz-humberto, Counselor Medicare: Not Enrolled in Medicare Practice Location: 700 E Parkway Dr, Russellville, AR 72801 Phone: 866-921-0149 Fax: 479-777-4400
Phillip M Higdon, MS LADAC CCS Counselor Medicare: Not Enrolled in Medicare Practice Location: 110 Skyline Drive, Russellville, AR 72801 Phone: 479-968-1298 Fax: 479-968-6053
Mary Caitlyn Conner, Counselor Medicare: Not Enrolled in Medicare Practice Location: 107 N Boston Pl, Russellville, AR 72801 Phone: 479-219-4100
Mrs. Marilyn Jean Mckown, MHPP Counselor Medicare: Not Enrolled in Medicare Practice Location: 1310 W Main St Ste 100, Russellville, AR 72801 Phone: 479-964-2011
Matthew Waymack, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1610 S Arkansas Ave, Russellville, AR 72801 Phone: 479-967-4673 Fax: 479-967-7140
Theodore Gongola, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3205 W Main St, Russellville, AR 72801 Phone: 479-967-4673 Fax: 479-967-7140

Dr Karen Gongola, DOCTOR PSYCHOTHERAPY - Medicare Counselor in Russellville, AR