Nicholas Gaughan, LPC in Griswold, CT - Medicare Counselor Provider

Nicholas Gaughan, LPC is a medicare enrolled "Counselor - Professional" provider in Griswold, Connecticut. His current practice location is 70 Main St, Griswold, Connecticut. You can reach out to his office (for appointments etc.) via phone at (860) 634-0967.

Nicholas Gaughan is licensed to practice in Connecticut (license number 2682) 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 1093071136.

Contact Information

	Nicholas Gaughan, LPC
	70 Main St, Griswold, CT 06351-2226
	(860) 634-0967
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Nicholas Gaughan
Gender	Male
Speciality	Counselor - Professional
Location	70 Main St, Griswold, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093071136
Provider Enumeration Date: 04/03/2012
Last Update Date: 12/01/2020

Medicare PECOS Information:

PECOS PAC ID: 5890138317
Enrollment ID: I20240212001664

Medical Identifiers

Medical identifiers for Nicholas Gaughan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093071136	NPI	-	NPPES
1066	Other	CT	LADC
2682	Other	CT	LPC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	001066 (Connecticut)	Secondary
101YP2500X	Counselor - Professional	2682 (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. Nicholas Gaughan allows following entities to bill medicare on his behalf.

Entity Name	Community Health Resources, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215979810 PECOS PAC ID: 5597652149 Enrollment ID: O20040301000155

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. Nicholas Gaughan 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
Nicholas Gaughan, LPC Po Box 296, Rogers, CT 06263-0296 Ph: (860) 634-0967	Nicholas Gaughan, LPC 70 Main St, Griswold, CT 06351-2226 Ph: (860) 634-0967

Reviews and Comments

Counselor in Griswold, CT

Kelsey Lyn Joslyn, Counselor Medicare: Accepting Medicare Assignments Practice Location: 226 E Main St, Griswold, CT 06351 Phone: 860-822-4742
Brian Carberg, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 14 Nowakowski Rd, Griswold, CT 06351 Phone: 860-376-3031
Kennyshka Kouwenhoven, LPC-A Counselor Medicare: Not Enrolled in Medicare Practice Location: 70 Main St, Griswold, CT 06340 Phone: 860-469-0508
Miss Cara Vaslet, BS, LCDP, LCDC III Counselor Medicare: Not Enrolled in Medicare Practice Location: 167 Bishop Crossing Rd, Griswold, CT 06351 Phone: 860-865-8492
Leslie Anne Stasko, LPC-A Counselor Medicare: Not Enrolled in Medicare Practice Location: 70 Main St, Griswold, CT 06351 Phone: 860-303-9760
Alexandra Nichole Mcshane, Counselor Medicare: Not Enrolled in Medicare Practice Location: 26 Arrowhead Dr, Griswold, CT 06351 Phone: 860-876-2916

Nicholas Gaughan, LPC - Medicare Counselor in Griswold, CT