Dr Jeremy Glenn Gay, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Grovetown, Georgia. His current practice location is
811 Erika Ln, Grovetown, Georgia. You can reach out to his office (for appointments etc.) via phone at
(706) 836-3983.
Dr Jeremy Glenn Gay is licensed to practice in Georgia (license number PSY004116) 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 1366035693.
Healthcare Provider's Profile
| Full Name | Dr Jeremy Glenn Gay |
|---|
| Gender | Male |
|---|
| Speciality | Psychologist - Clinical |
|---|
| Location | 811 Erika Ln, Grovetown, Georgia |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1366035693
- Provider Enumeration Date: 02/17/2021
- Last Update Date: 02/17/2021
Medicare PECOS Information:
- PECOS PAC ID: 6406230523
- Enrollment ID: I20220908001328
Medical Identifiers
Medical identifiers for Dr Jeremy Glenn Gay such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1366035693 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TF0200X | Psychologist - Forensic | PSY004116 (Georgia) | Secondary |
| 103TC0700X | Psychologist - Clinical | PSY004116 (Georgia) | 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. Dr Jeremy Glenn Gay allows following entities to bill medicare on his behalf.
| Entity Name | Augusta University |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1760559124
PECOS PAC ID: 0840188090
Enrollment ID: O20040309000453 |
|---|
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. Dr Jeremy Glenn Gay 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 |
|---|
Dr Jeremy Glenn Gay, PSYD
811 Erika Ln,
Grovetown, GA 30813-8303
Ph: (706) 836-3983 | Dr Jeremy Glenn Gay, PSYD
811 Erika Ln,
Grovetown, GA 30813-8303
Ph: (706) 836-3983 |
Reviews and Comments