Mr Grant Judson Gill, in North Bend, OR - Medicare Counselor Provider

Mr Grant Judson Gill, is a medicare enrolled "Counselor - Mental Health" provider in North Bend, Oregon. His current practice location is 1817 16th St, North Bend, Oregon. You can reach out to his office (for appointments etc.) via phone at (541) 297-6230.

Mr Grant Judson Gill is licensed to practice in * (Not Available) (license number ) 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 1427667328.

Contact Information

	Mr Grant Judson Gill,
	1817 16th St, North Bend, OR 97459-2629
	(541) 297-6230
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Grant Judson Gill
Gender	Male
Speciality	Counselor - Mental Health
Location	1817 16th St, North Bend, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1427667328
Provider Enumeration Date: 07/27/2020
Last Update Date: 07/27/2020

Medicare PECOS Information:

PECOS PAC ID: 6608218821
Enrollment ID: I20240520002654

Medical Identifiers

Medical identifiers for Mr Grant Judson Gill such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1427667328	NPI	-	NPPES
CMK7119B	Medicaid	OR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	Primary

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 Grant Judson Gill 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 Grant Judson Gill, 281 Laclair St, Coos Bay, OR 97420-2988 Ph: (541) 266-6700	Mr Grant Judson Gill, 1817 16th St, North Bend, OR 97459-2629 Ph: (541) 297-6230

Reviews and Comments

Counselor in North Bend, OR

William Simon, Counselor Medicare: Medicare Enrolled Practice Location: 1592 Monroe St, North Bend, OR 97459 Phone: 541-756-2048 Fax: 541-756-2058
Mrs. Leanne Maylene Hake, CADCII Counselor Medicare: Not Enrolled in Medicare Practice Location: 1950 Waite St, North Bend, OR 97459 Phone: 541-266-0020
Mr. Jon Byron Albright, Counselor Medicare: Not Enrolled in Medicare Practice Location: 400 Virginia Ave, #201, North Bend, OR 97459 Phone: 541-751-0357 Fax: 541-751-9985
Mrs. Roberta Goldie Grenier, CADC II Counselor Medicare: Not Enrolled in Medicare Practice Location: 400 Virginia Ave, #201, North Bend, OR 97459 Phone: 541-751-0357 Fax: 541-751-9985
Maggie Klapperich, Counselor Medicare: Not Enrolled in Medicare Practice Location: 400 Virginia Ave Ste 100, North Bend, OR 97459 Phone: 541-672-2691
Jennifer Sue Rodriguez, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1913 Meade St, North Bend, OR 97459 Phone: 541-756-4508
Kelly Andrea Manz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1592 Monroe St, North Bend, OR 97459 Phone: 541-756-2048 Fax: 541-756-2058

Mr Grant Judson Gill, - Medicare Counselor in North Bend, OR