Roy Richard Gildersleeve Iii, RD, RN, PMHNP-BC - Medicare in Newark, OH

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Roy Richard Gildersleeve Iii, RD, RN, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" provider in Newark, Ohio. He went to Ohio State University College Of Medicine and graduated in 2015 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Behavioral Healthcare Partners Of Central Ohio Inc and his current practice location is 65 Messimer Dr, Newark, Ohio. You can reach out to his office (for appointments etc.) via phone at (740) 522-8477.

Roy Richard Gildersleeve Iii is licensed to practice in Ohio (license number APRN.CNP.0039922) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1982077749.

Contact Information

Roy Richard Gildersleeve Iii, RD, RN, PMHNP-BC
65 Messimer Dr,
Newark, OH 43055-1874
(740) 522-8477
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameRoy Richard Gildersleeve Iii
GenderMale
SpecialityNurse Practitioner
Experience11 Years
Location65 Messimer Dr, Newark, Ohio
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Roy Richard Gildersleeve Iii attended and graduated from Ohio State University College Of Medicine in 2015
  NPI Data:
  • NPI Number: 1982077749
  • Provider Enumeration Date: 11/02/2015
  • Last Update Date: 08/20/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 8123321080
  • Enrollment ID: I20251013003240

Medical Identifiers

Medical identifiers for Roy Richard Gildersleeve Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1982077749NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered LD7820 (Ohio)Secondary
163W00000XRegistered Nurse RN.531219 (Ohio)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health APRN.CNP.0039922 (Ohio)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Behavioral Healthcare Partners Of Central Ohio Inc397149938528

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. Roy Richard Gildersleeve Iii allows following entities to bill medicare on his behalf.
Provider NameBehavioral Healthcare Partners of Central Ohio Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1063479079
PECOS PAC ID: 3971499385
Enrollment ID: O20040224000274
Provider NameOh Independent Medical Group LLC
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1497482111
PECOS PAC ID: 0648646034
Enrollment ID: O20221027000414

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. Roy Richard Gildersleeve 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 AddressPractice Location Address
Roy Richard Gildersleeve Iii, RD, RN, PMHNP-BC
65 Messimer Dr,
Newark, OH 43055-1874

Ph: Not Available		Roy Richard Gildersleeve Iii, RD, RN, PMHNP-BC
65 Messimer Dr,
Newark, OH 43055-1874

Ph: (740) 522-8477

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.