Mr Jonathan Gilmore, MS, CAS in Wallingford, VT

Mr Jonathan Gilmore, MS, CAS is a medicare enrolled "Counselor - Mental Health" provider in Wallingford, Vermont. His current practice location is 167 N Main St, Wallingford, Vermont. You can reach out to his office (for appointments etc.) via phone at (802) 353-3537.

Mr Jonathan Gilmore is licensed to practice in Vermont (license number 097.0001.159) 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 1760121867.

Contact Information

	Mr Jonathan Gilmore, MS, CAS
	167 N Main St, Wallingford, VT 05773-9800
	(802) 353-3537
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Jonathan Gilmore
Gender	Male
Speciality	Counselor - Mental Health
Location	167 N Main St, Wallingford, Vermont
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760121867
Provider Enumeration Date: 05/27/2022
Last Update Date: 05/27/2022

Medicare PECOS Information:

PECOS PAC ID: 6406201243
Enrollment ID: I20231013000784

Medical Identifiers

Medical identifiers for Mr Jonathan Gilmore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760121867	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	097.0001.159 (Vermont)	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. Mr Jonathan Gilmore allows following entities to bill medicare on his behalf.

Entity Name	Maple Leaf Clinic Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851715635 PECOS PAC ID: 8426463951 Enrollment ID: O20210216001561

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 Jonathan Gilmore 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 Jonathan Gilmore, MS, CAS 167 N Main St, Wallingford, VT 05773-9800 Ph: (802) 446-3577	Mr Jonathan Gilmore, MS, CAS 167 N Main St, Wallingford, VT 05773-9800 Ph: (802) 353-3537

Reviews and Comments

Counselor in Wallingford, VT

Mrs. Ashleigh Marie Heath, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 98 Church Street, Wallingford, VT 05773 Phone: 802-446-2640 Fax: 802-446-2636
Erin Marie Coote, Counselor Medicare: Not Enrolled in Medicare Practice Location: 90 W View Rd, Wallingford, VT 05773 Phone: 802-345-4693
Mr. William Theodore Day Ii, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 167 N Main St, Wallingford, VT 05773 Phone: 802-446-3577 Fax: 802-446-3801
Blaire Hooper, Counselor Medicare: Not Enrolled in Medicare Practice Location: 167 N Main St, Wallingford, VT 05773 Phone: 802-446-3577
Peter Francis Lynn, Counselor Medicare: Not Enrolled in Medicare Practice Location: 167 N Main St, Wallingford, VT 05773 Phone: 802-446-3577
Chadd Viger, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 98 Church St., Wallingford, VT 05773 Phone: 802-446-2640

Mr Jonathan Gilmore, MS, CAS - Medicare Counselor in Wallingford, VT