Dr Gary Michael Coleman, is a medicare enrolled "Pediatrics" physician in Maysville, Kentucky. His current practice location is
1350 Medical Park Dr, Maysville, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(606) 759-5437.
Dr Gary Michael Coleman is licensed to practice in Kentucky (license number 35075) 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 1124125224.
Physician's Profile
| Full Name | Dr Gary Michael Coleman |
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| Gender | Male |
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| Speciality | Pediatrics |
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| Location | 1350 Medical Park Dr, Maysville, Kentucky |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1124125224
- Provider Enumeration Date: 09/20/2006
- Last Update Date: 02/04/2025
Medicare PECOS Information:
- PECOS PAC ID: 8820087026
- Enrollment ID: I20040512000092
Medical Identifiers
Medical identifiers for Dr Gary Michael Coleman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1124125224 | NPI | - | NPPES |
| 64357056 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | 35075 (Kentucky) | 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. Dr Gary Michael Coleman allows following entities to bill medicare on his behalf.
| Entity Name | Lewis County Primary Care Center, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1457303802
PECOS PAC ID: 1153311774
Enrollment ID: O20040515000278 |
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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. Dr Gary Michael Coleman 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 |
|---|
Dr Gary Michael Coleman,
Po Box 550,
Vanceburg, KY 41179-0550
Ph: (606) 956-0162 | Dr Gary Michael Coleman,
1350 Medical Park Dr,
Maysville, KY 41056-9615
Ph: (606) 759-5437 |
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