Dr Samuel Thomas Gontkovsky, PSYD in Chillicothe, OH

Dr Samuel Thomas Gontkovsky, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Chillicothe, Ohio. His current practice location is 455 Shawnee Ln, Chillicothe, Ohio. You can reach out to his office (for appointments etc.) via phone at (740) 779-4888.

Dr Samuel Thomas Gontkovsky is licensed to practice in Ohio (license number 7285) 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 1801954920.

Contact Information

	Dr Samuel Thomas Gontkovsky, PSYD
	455 Shawnee Ln, Chillicothe, OH 45601-4145
	(740) 779-4888
	(740) 779-4898

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Samuel Thomas Gontkovsky
Gender	Male
Speciality	Psychologist - Clinical
Location	455 Shawnee Ln, Chillicothe, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1801954920
Provider Enumeration Date: 12/04/2006
Last Update Date: 12/14/2022

Medicare PECOS Information:

PECOS PAC ID: 1557274933
Enrollment ID: I20150427001426

Medical Identifiers

Medical identifiers for Dr Samuel Thomas Gontkovsky such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801954920	NPI	-	NPPES
0108112	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	3446-57 (Wisconsin)	Secondary
103TC0700X	Psychologist - Clinical	723 (Nebraska)	Secondary
103TC0700X	Psychologist - Clinical	42692 (Mississippi)	Secondary
103TC0700X	Psychologist - Clinical	7285 (Ohio)	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 Samuel Thomas Gontkovsky allows following entities to bill medicare on his behalf.

Entity Name	Adena Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235468083 PECOS PAC ID: 1153456579 Enrollment ID: O20100323001007

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 Samuel Thomas Gontkovsky 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 Samuel Thomas Gontkovsky, PSYD 455 Shawnee Ln, Chillicothe, OH 45601-4145 Ph: (740) 779-4888	Dr Samuel Thomas Gontkovsky, PSYD 455 Shawnee Ln, Chillicothe, OH 45601-4145 Ph: (740) 779-4888

Reviews and Comments

Psychologist in Chillicothe, OH

Dr. Robert L Taylor Iii, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 17273 State Route 104, Chillicothe, OH 45601 Phone: 740-773-1141 Fax: 740-779-5500
Dr. Jeremy Sean Mckay, PH.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 17273 State Route 104, Chillicothe, OH 45601 Phone: 740-773-1141
Makenzee Shea Bell, M.A. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1049 Western Ave, Chillicothe, OH 45601 Phone: 740-773-4366
Dr. Jennifer Lynn Lemkuil, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 17273 State Route 104, Chillicothe, OH 45601 Phone: 740-773-1141 Fax: 740-772-7038
Dr. Anna R Frise, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 17273 State Route 104, Chillicothe Va Medical Center, Chillicothe, OH 45601 Phone: 740-773-1141
Dr. Ruth Lynn Teeters, ED. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 18 Overlook Dr, Chillicothe, OH 45601 Phone: 740-708-4882
Dr. Margaret Dehoff, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 17273 State Route 104, Chillicothe, OH 45601 Phone: 740-773-1141

Dr Samuel Thomas Gontkovsky, PSYD - Medicare Psychologist in Chillicothe, OH