Patrick Gollegly, LGPC, CAC-AD in Cheverly, MD

Patrick Gollegly, LGPC, CAC-AD is a medicare enrolled "Counselor" provider in Cheverly, Maryland. His current practice location is 3003 Hospital Dr, Cheverly, Maryland. You can reach out to his office (for appointments etc.) via phone at (301) 583-5920.

Patrick Gollegly is licensed to practice in Maryland (license number LGP5092) 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 1336523802.

Contact Information

	Patrick Gollegly, LGPC, CAC-AD
	3003 Hospital Dr, Cheverly, MD 20785-1194
	(301) 583-5920
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Patrick Gollegly
Gender	Male
Speciality	Counselor
Location	3003 Hospital Dr, Cheverly, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336523802
Provider Enumeration Date: 07/15/2015
Last Update Date: 07/15/2015

Medicare PECOS Information:

PECOS PAC ID: 0648611905
Enrollment ID: I20240517000239

Medical Identifiers

Medical identifiers for Patrick Gollegly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336523802	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	LGP5092 (Maryland)	Primary
101YA0400X	Counselor - Addiction (substance Use Disorder)	AC1192 (Maryland)	Secondary

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. Patrick Gollegly allows following entities to bill medicare on his behalf.

Entity Name	Prince Georges County Health Department
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366711947 PECOS PAC ID: 0547542243 Enrollment ID: O20170112001236

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. Patrick Gollegly 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
Patrick Gollegly, LGPC, CAC-AD 3003 Hospital Dr, Cheverly, MD 20785-1194 Ph: (301) 583-5920	Patrick Gollegly, LGPC, CAC-AD 3003 Hospital Dr, Cheverly, MD 20785-1194 Ph: (301) 583-5920

Reviews and Comments

Counselor in Cheverly, MD

Miss Sara Anne Mackey, LPC Counselor Medicare: Medicare Enrolled Practice Location: 3124 Parkway, Cheverly, MD 20785 Phone: 443-616-5587
Ronald F Bates, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 3003 Hospital Dr, Ground Floor, Cheverly, MD 20785 Phone: 301-583-5920
Jeffery Crayton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3003 Hospital Dr, Cheverly, MD 20785 Phone: 301-583-5920
Mrs. Tasha Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6490 Landover Rd, Cheverly, MD 20785 Phone: 301-341-5111
Mary Jeanette Huntley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3002 Hillside Ave, Cheverly, MD 20785 Phone: 240-356-8823
Tonia M Saad, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6501 Landover Rd Apt 102, Cheverly, MD 20785 Phone: 240-906-2806

Patrick Gollegly, LGPC, CAC-AD - Medicare Counselor in Cheverly, MD