Bernard J. Gotway, Ph.d., P.c. in Richardson, TX

Bernard J. Gotway, Ph.d., P.c. is a medicare enrolled mental health clinic (Psychologist - Clinical) in Richardson, Texas. The current practice location for Bernard J. Gotway, Ph.d., P.c. is 1701 Gateway Blvd, Ste 447, Richardson, Texas. For appointments, you can reach them via phone at (972) 918-9333. The mailing address for Bernard J. Gotway, Ph.d., P.c. is 1701 Gateway Blvd, Ste 447, Richardson, Texas and phone number is (972) 918-9333.

Bernard J. Gotway, Ph.d., P.c. is licensed to practice in Texas (license number 22116). The clinic also participates in the medicare program and its NPI number is 1447544812. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (972) 918-9333.

Contact Information

	Bernard J. Gotway, Ph.d., P.c.
	1701 Gateway Blvd Ste 447 Richardson TX 75080-3572
	(972) 918-9333
	(972) 783-8444

Map and Direction

Mental Health Clinic Profile

Full Name	Bernard J. Gotway, Ph.d., P.c.
Speciality	Psychologist
Location	1701 Gateway Blvd, Richardson, Texas
Authorized Official Name and Position	Bernard J. Gotway (PRESIDENT / OWNER)
Authorized Official Contact	9729189333
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Bernard J. Gotway, Ph.d., P.c. 1701 Gateway Blvd Ste 447 Richardson TX 75080-3572 Ph: (972) 918-9333	Bernard J. Gotway, Ph.d., P.c. 1701 Gateway Blvd Ste 447 Richardson TX 75080-3572 Ph: (972) 918-9333

NPI Details:

NPI Number	1447544812
Provider Enumeration Date	06/02/2011
Last Update Date	06/02/2011

Medicare PECOS Information:

Medicare PECOS PAC ID	5890965958
Medicare Enrollment ID	O20170331000517

Medical Identifiers

Medical identifiers for Bernard J. Gotway, Ph.d., P.c. such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447544812	NPI	-	NPPES
032366901	Medicaid	TX

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	22116 (Texas)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Bernard J. Gotway, Ph.d., P.c. acts as a billing entity for following providers:

Provider Name	Bernard J Gotway
Provider Type	Practitioner - Clinical Psychologist
Provider Identifiers	NPI Number: 1396721700 PECOS PAC ID: 6406980762 Enrollment ID: I20100823000485

Reviews and Comments

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Bernard J. Gotway, Ph.d., P.c. - Medicare Mental Health Clinic in Richardson, TX