Leland T Gough, DPT in Mchenry, IL - Medicare Physical Therapy Provider

Leland T Gough, DPT is a medicare enrolled "Physical Therapist" provider in Mchenry, Illinois. He graduated from medical school in 2014 and has 10 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Orthomidwest Pllc and 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 accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and 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 Name	Leland T Gough
Gender	Male
Speciality	Physical Therapy
Experience	10 Years
Location	4119 W Shamrock Ln, Mchenry, Illinois
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Leland T Gough graduated from medical school in 2014

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.

Identifier	Type	State	Issuer
1184013666	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	070021201 (Illinois)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Orthomidwest Pllc	0749183713	386

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 Name	Orthomidwest Pllc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1730136474 PECOS PAC ID: 0749183713 Enrollment ID: O20040128000533

Provider Name	Athletic And Therapeutic Institute Of Naperville, Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI 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 Address	Practice 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
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
Mrs. Julie A 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

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