Leland T Gough, DPT - Medicare Physical Therapist in Mchenry, IL

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Leland T Gough, DPT is a medicare enrolled "Physical Therapist" provider in Mchenry, Illinois. His current practice location is 4119 W Shamrock Ln, Mchenry, Illinois. You can reach out to his office (for appointments etc.) via phone at (815) 398-9491.

Leland T Gough is licensed to practice in Illinois (license number 070021201) 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 1184013666.

Contact Information

Leland T Gough, DPT
4119 W Shamrock Ln,
Mchenry, IL 60050-8268
(815) 398-9491
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameLeland T Gough
GenderMale
SpecialityPhysical Therapist
Location4119 W Shamrock Ln, Mchenry, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1184013666
  • Provider Enumeration Date: 01/21/2015
  • Last Update Date: 10/10/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3577888916
  • Enrollment ID: I20150206000830

Medical Identifiers

Medical identifiers for Leland T Gough such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184013666NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 070021201 (Illinois)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. Leland T Gough allows following entities to bill medicare on his behalf.
Provider NameOrthomidwest, Pllc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1730136474
PECOS PAC ID: 0749183713
Enrollment ID: O20040128000533
Provider NameAthletic And Therapeutic Institute Of Naperville, Llc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1023129681
PECOS PAC ID: 8325014020
Enrollment ID: O20040903000494

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. Leland T Gough 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
Leland T Gough, DPT
Po Box 735263,
Chicago, IL 60673-5263

Ph: () -		Leland T Gough, DPT
4119 W Shamrock Ln,
Mchenry, IL 60050-8268

Ph: (815) 398-9491

Reviews and Comments


Physical Therapist in Mchenry, IL

Peter Dionela, P.T.
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 319 Front St, Mchenry, IL 60050
Phone: 815-578-9655    Fax: 815-578-9642
Scott J Schultz, PT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 4151 W Orleans St, Mchenry, IL 60050
Phone: 815-344-9727    Fax: 815-344-9728
Michael Hall,
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1733 N Richmond Rd, Mchenry, IL 60051
Phone: 815-385-0730    
Mr. Stephen L Conroy, P.T.
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 319 Front St, Mchenry, IL 60050
Phone: 815-578-9655    Fax: 815-578-9642
Emily Fay Rotert, DPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 5435 Bull Valley Rd Ste 110, Mchenry, IL 60050
Phone: 815-451-4502    
Andrew Gwost, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1728 N Richmond Rd, Mchenry, IL 60051
Phone: 815-578-8905    Fax: 815-578-8904

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.