Ergi O Gumusaneli, MD - Medicare Psychiatry & Neurology in Payson, AZ

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Ergi O Gumusaneli, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Payson, Arizona. His current practice location is 600 E State Highway 260, Payson, Arizona. You can reach out to his office (for appointments etc.) via phone at (303) 808-5566.

Ergi O Gumusaneli is licensed to practice in Colorado (license number 48431) 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 1225283260.

Contact Information

Ergi O Gumusaneli, MD
600 E State Highway 260,
Payson, AZ 85541-4935
(303) 808-5566
Not Available

Map and Direction




Physician's Profile

Full NameErgi O Gumusaneli
GenderMale
SpecialityPsychiatry & Neurology - Psychiatry
Location600 E State Highway 260, Payson, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1225283260
  • Provider Enumeration Date: 11/18/2008
  • Last Update Date: 02/18/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 7315186251
  • Enrollment ID: I20130625000536

Medical Identifiers

Medical identifiers for Ergi O Gumusaneli such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225283260NPI-NPPES
9000102175MedicaidCO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry 48431 (Colorado)Primary
2084P0800XPsychiatry & Neurology - Psychiatry A133155 (California)Secondary
2084P0800XPsychiatry & Neurology - Psychiatry 49742 (Arizona)Secondary
323P00000XPsychiatric Residential Treatment Facility 48431 (Colorado)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. Ergi O Gumusaneli allows following entities to bill medicare on his behalf.
Entity NameBoulder Community Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821074196
PECOS PAC ID: 6800707233
Enrollment ID: O20040123000284

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. Ergi O Gumusaneli 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
Ergi O Gumusaneli, MD
16810 Avenue Of The Fountains, Suite 200,
Fountain Hills, AZ 85268

Ph: () -		Ergi O Gumusaneli, MD
600 E State Highway 260,
Payson, AZ 85541-4935

Ph: (303) 808-5566

Reviews and Comments


Psychiatry & Neurology Doctors in Payson, AZ


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).

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