Dr Keith Robert Gonsor, PHD in Massapequa, NY - Medicare Psychologist Provider

Dr Keith Robert Gonsor, PHD is a medicare enrolled "Psychologist - Clinical" provider in Massapequa, New York. His current practice location is 627 Broadway, Suite 200, Massapequa, New York. You can reach out to his office (for appointments etc.) via phone at (516) 799-6001.

Dr Keith Robert Gonsor is licensed to practice in New York (license number 010346) 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 1497822787.

Contact Information

	Dr Keith Robert Gonsor, PHD
	627 Broadway, Suite 200, Massapequa, NY 11758-5031
	(516) 799-6001
	(516) 799-4464

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Keith Robert Gonsor
Gender	Male
Speciality	Psychologist - Clinical
Location	627 Broadway, Massapequa, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1497822787
Provider Enumeration Date: 11/29/2006
Last Update Date: 07/09/2007

Medicare PECOS Information:

PECOS PAC ID: 6800898735
Enrollment ID: I20070212000593

Medical Identifiers

Medical identifiers for Dr Keith Robert Gonsor such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497822787	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	010346 (New York)	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 Keith Robert Gonsor allows following entities to bill medicare on his behalf.

Entity Name	Che Senior Psychological Services, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023078219 PECOS PAC ID: 8022905314 Enrollment ID: O20040322001429

Entity Name	Knapp Street Psychiatry, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043248776 PECOS PAC ID: 1153212998 Enrollment ID: O20040322001760

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 Keith Robert Gonsor 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 Keith Robert Gonsor, PHD 627 Broadway, Suite 200, Massapequa, NY 11758-5031 Ph: (516) 799-6001	Dr Keith Robert Gonsor, PHD 627 Broadway, Suite 200, Massapequa, NY 11758-5031 Ph: (516) 799-6001

Reviews and Comments

Psychologist in Massapequa, NY

Ms. Jacquelyn Anne Marinello, MSED, BCBS Psychologist Medicare: Not Enrolled in Medicare Practice Location: 81 Arlyn Drive East, Massapequa, NY 11758 Phone: 631-327-0836
Mrs. Christina M Corda, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2 Lee Pl, Massapequa, NY 11758 Phone: 516-798-1707
Mrs. Megan Elizabeth Papagno, MS Psychologist Medicare: Not Enrolled in Medicare Practice Location: 178 N Kings Ave, Massapequa, NY 11758 Phone: 516-286-5501
Maureen Kaley, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 4687 Merrick Rd, Massapequa, NY 11758 Phone: 516-541-5172
Mr. Bruce Nyfield, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 627 Broadway, Suite 201, Massapequa, NY 11258 Phone: 631-751-1166 Fax: 631-751-0889
Dr. Karen Ann Quick, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 46 Alhambra Rd, Massapequa, NY 11758 Phone: 516-592-0521
Rene Small, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 727 N Broadway, Massapequa, NY 11758 Phone: 800-871-5491

Dr Keith Robert Gonsor, PHD - Medicare Psychologist in Massapequa, NY