Mr Richard Michael Gorman Iii, LPC in Derby, CT

Mr Richard Michael Gorman Iii, LPC is a medicare enrolled "Counselor - Professional" provider in Derby, Connecticut. His current practice location is 18 Commodore Hull Dr, Derby, Connecticut. You can reach out to his office (for appointments etc.) via phone at (860) 830-7967.

Mr Richard Michael Gorman Iii is licensed to practice in Connecticut (license number 003630) 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 1851863294.

Contact Information

	Mr Richard Michael Gorman Iii, LPC
	18 Commodore Hull Dr, Derby, CT 06418-2255
	(860) 830-7967
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Richard Michael Gorman Iii
Gender	Male
Speciality	Counselor - Professional
Location	18 Commodore Hull Dr, Derby, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1851863294
Provider Enumeration Date: 12/26/2018
Last Update Date: 12/26/2018

Medicare PECOS Information:

PECOS PAC ID: 4880045368
Enrollment ID: I20240109002862

Medical Identifiers

Medical identifiers for Mr Richard Michael Gorman Iii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851863294	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	003630 (Connecticut)	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 Richard Michael Gorman Iii allows following entities to bill medicare on his behalf.

Entity Name	Key Therapy Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114393493 PECOS PAC ID: 6204185010 Enrollment ID: O20180827003149

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 Richard Michael Gorman Iii 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 Richard Michael Gorman Iii, LPC 18 Commodore Hull Dr, Derby, CT 06418-2255 Ph: (860) 830-7967	Mr Richard Michael Gorman Iii, LPC 18 Commodore Hull Dr, Derby, CT 06418-2255 Ph: (860) 830-7967

Reviews and Comments

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Amanda Furegno, MA, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 Elizabeth St, Derby, CT 06418 Phone: 203-446-2252
Susan J Braun, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 130 Division St, Derby, CT 06418 Phone: 203-732-7550

Mr Richard Michael Gorman Iii, LPC - Medicare Counselor in Derby, CT