Miss Elizabeth Ann Gamble, PSYD is a medicare enrolled "Clinical Neuropsychologist" provider in Fayetteville, North Carolina. She graduated from medical school in 1991 and has 33 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Fayetteville Neuropsychology Pllc and her current practice location is
2931 Breezewood Ave Ste 100, Fayetteville, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(910) 677-0000.
Miss Elizabeth Ann Gamble is licensed to practice in North Carolina (license number 1853) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1093716672.
Healthcare Provider's Profile
| Full Name | Miss Elizabeth Ann Gamble |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 33 Years |
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| Location | 2931 Breezewood Ave Ste 100, Fayetteville, North Carolina |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Miss Elizabeth Ann Gamble graduated from medical school in 1991
NPI Data:
- NPI Number: 1093716672
- Provider Enumeration Date: 08/09/2005
- Last Update Date: 01/07/2021
Medicare PECOS Information:
- PECOS PAC ID: 3779565098
- Enrollment ID: I20040602000205
Medical Identifiers
Medical identifiers for Miss Elizabeth Ann Gamble such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1093716672 | NPI | - | NPPES |
| 6000651 | Medicaid | NC | |
| 2821711A | Medicaid | NC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | 1853 (North Carolina) | Secondary |
| 103G00000X | Clinical Neuropsychologist | 1853 (North Carolina) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Fayetteville Neuropsychology Pllc | 4385910686 | 6 |
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. Miss Elizabeth Ann Gamble allows following entities to bill medicare on her behalf.
| Entity Name | Fayetteville Neuropsychology Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1053830315
PECOS PAC ID: 4385910686
Enrollment ID: O20171031002002 |
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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. Miss Elizabeth Ann Gamble 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 |
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Miss Elizabeth Ann Gamble, PSYD
2931 Breezewood Ave Ste 100,
Fayetteville, NC 28303-5281
Ph: (910) 677-0000 | Miss Elizabeth Ann Gamble, PSYD
2931 Breezewood Ave Ste 100,
Fayetteville, NC 28303-5281
Ph: (910) 677-0000 |
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