Mr Michael Joseph Gillen, PHD is a medicare enrolled "Psychologist - Clinical" provider in Union Grove, Wisconsin. He graduated from medical school in 2014 and has 12 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Davken Associates, P.c. and his current practice location is
21425 Spring Street, Union Grove Va Clinic, Union Grove, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(262) 878-7020.
Mr Michael Joseph Gillen is licensed to practice in Wisconsin (license number 3313-57) 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 1477925121.
Healthcare Provider's Profile
| Full Name | Mr Michael Joseph Gillen |
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| Gender | Male |
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| Speciality | Clinical Psychologist |
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| Experience | 12 Years |
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| Location | 21425 Spring Street, Union Grove, Wisconsin |
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| Accepts Medicare Assignments | Yes. He 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:
- Mr Michael Joseph Gillen graduated from medical school in 2014
NPI Data:
- NPI Number: 1477925121
- Provider Enumeration Date: 10/21/2015
- Last Update Date: 11/15/2023
Medicare PECOS Information:
- PECOS PAC ID: 1052609906
- Enrollment ID: I20161010002131
Medical Identifiers
Medical identifiers for Mr Michael Joseph Gillen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1477925121 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TC0700X | Psychologist - Clinical | 3313-57 (Wisconsin) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Davken Associates, P.c. | 8820901861 | 8 |
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. Mr Michael Joseph Gillen allows following entities to bill medicare on his behalf.
| Entity Name | Davken Associates, P.c. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1457393159
PECOS PAC ID: 8820901861
Enrollment ID: O20031106000631 |
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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. Mr Michael Joseph Gillen 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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Mr Michael Joseph Gillen, PHD
21425 Spring Street, Union Grove Va Clinic,
Union Grove, WI 53182
Ph: (262) 878-7020 | Mr Michael Joseph Gillen, PHD
21425 Spring Street, Union Grove Va Clinic,
Union Grove, WI 53182
Ph: (262) 878-7020 |
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