Gilbert A Masterson, MD is a medicare enrolled "Psychiatry & Neurology - Addiction Medicine" physician in Marne, Michigan. His current practice location is
15146 16th Ave, Marne, Michigan. You can reach out to his office (for appointments etc.) via phone at
(616) 520-9075.
Gilbert A Masterson is licensed to practice in Michigan (license number 4301062800) 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 1497740930.
Physician's Profile
Full Name | Gilbert A Masterson |
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Gender | Male |
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Speciality | Psychiatry & Neurology - Addiction Medicine |
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Location | 15146 16th Ave, Marne, Michigan |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1497740930
- Provider Enumeration Date: 09/12/2005
- Last Update Date: 02/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 3375635006
- Enrollment ID: I20070824000761
Medical Identifiers
Medical identifiers for Gilbert A Masterson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1497740930 | NPI | - | NPPES |
4305173 | Medicaid | MI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084P0800X | Psychiatry & Neurology - Psychiatry | 35-127636 (Ohio) | Secondary |
2084P0800X | Psychiatry & Neurology - Psychiatry | 4301062800 (Michigan) | Secondary |
2084A0401X | Psychiatry & Neurology - Addiction Medicine | 4301062800 (Michigan) | 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. Gilbert A Masterson allows following entities to bill medicare on his behalf.
Entity Name | Sanford Behavioral Health Outpatient Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1679201271 PECOS PAC ID: 6709243629 Enrollment ID: O20230608001937 |
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Entity Name | Psychiatry Specialists Of Grand Rapids, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1710638960 PECOS PAC ID: 7911354832 Enrollment ID: O20231114001269 |
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Entity Name | Lafayette Medical Specialists Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1598437642 PECOS PAC ID: 1355791575 Enrollment ID: O20231229000371 |
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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. Gilbert A Masterson 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 |
Gilbert A Masterson, MD 15146 16th Ave, Marne, MI 49435-9605 Ph: (616) 520-9075 | Gilbert A Masterson, MD 15146 16th Ave, Marne, MI 49435-9605 Ph: (616) 520-9075 |
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