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

Mr Richard Michael Gorman Iii, LPC is a medicare enrolled "Counselor - Professional" provider in Derby, Connecticut. He graduated from healthcare school in 2015 and has 11 years of diverse experience with area of expertise as Mental Health Counselor. He is a member of the group practice Key Therapy Llc and 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 may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and 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	Mental Health Counselor
Experience	11 Years
Location	18 Commodore Hull Dr, Derby, Connecticut
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Richard Michael Gorman Iii graduated from medical school in 2015

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

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Key Therapy Llc	6204185010	10

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

Counselor in Derby, CT

Joanna Torres, Counselor Medicare: Not Enrolled in Medicare Practice Location: 130 New Haven Ave, Derby, CT 06418 Phone: 203-507-8321
Thomas Heffernan, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 130 Division Street, Griffin Hospital, Derby, CT 06418 Phone: 203-732-7550 Fax: 203-732-1550
Mrs. Annette Bonomo, MS,ATR-BC Counselor Medicare: Not Enrolled in Medicare Practice Location: 30 Elizabeth St, Parent Child Resource Center, Derby, CT 06418 Phone: 203-954-0543
Jessica Borges, Counselor Medicare: Medicare Enrolled Practice Location: 17 Elizabeth St, Derby, CT 06418 Phone: 475-777-5905
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
Lindsay Walker, Counselor Medicare: Not Enrolled in Medicare Practice Location: 246 Derby Ave, Derby, CT 06418 Phone: 203-685-8862

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