Mr Michael William Gillum, MA in Williamsport, PA - Medicare Psychologist Provider

Mr Michael William Gillum, MA is a medicare enrolled "Psychologist" provider in Williamsport, Pennsylvania. His current practice location is 705 Washington Blvd Ste 100, Williamsport, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (570) 321-6390.

Mr Michael William Gillum is licensed to practice in Pennsylvania (license number PS007825L) 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 1194789180.

Contact Information

	Mr Michael William Gillum, MA
	705 Washington Blvd Ste 100, Williamsport, PA 17701-5355
	(570) 321-6390
	(570) 321-6393

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Michael William Gillum
Gender	Male
Speciality	Psychologist
Location	705 Washington Blvd Ste 100, Williamsport, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194789180
Provider Enumeration Date: 04/14/2006
Last Update Date: 01/28/2025

Medicare PECOS Information:

PECOS PAC ID: 0648523530
Enrollment ID: I20181023000683

Medical Identifiers

Medical identifiers for Mr Michael William Gillum such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194789180	NPI	-	NPPES
001553383	Medicaid	PA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC2200X	Psychologist - Clinical Child & Adolescent	PS007825L (Pennsylvania)	Secondary
103T00000X	Psychologist	PS007825L (Pennsylvania)	Primary
103TB0200X	Psychologist - Cognitive & Behavioral	PS007825L (Pennsylvania)	Secondary

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 William Gillum 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
Mr Michael William Gillum, MA 705 Washington Blvd Ste 100, Williamsport, PA 17701-5355 Ph: (570) 321-6390	Mr Michael William Gillum, MA 705 Washington Blvd Ste 100, Williamsport, PA 17701-5355 Ph: (570) 321-6390

Reviews and Comments

Psychologist in Williamsport, PA

Mrs. Shallary Simmons Duncan, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 721 Rose St, Williamsport, PA 17701 Phone: 570-971-7729
Lisa Marie D'addio, M.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 435 W 4th St, Williamsport, PA 17701 Phone: 570-322-7873 Fax: 570-322-8026
Dr. John Scott Neil, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1521 Washington Blvd, Williamsport, PA 17701 Phone: 570-322-5051 Fax: 570-322-6788
Dr. Kathy W Zakarian, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1521 Washington Blvd, Williamsport, PA 17701 Phone: 570-322-5051 Fax: 570-322-6788
Dr. Erin Leigh Miller, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1100 Grampian Blvd, Williamsport, PA 17701 Phone: 570-320-7525 Fax: 570-320-7484
Margaret Louise Fulmer, M.S. ED Psychologist Medicare: Not Enrolled in Medicare Practice Location: 435 W 4th St, Williamsport, PA 17701 Phone: 570-322-7873 Fax: 570-322-8026
David Glenn Rising, ED.D Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1205 River Ave Fl 2, Williamsport, PA 17701 Phone: 570-326-4118 Fax: 570-326-5533

Mr Michael William Gillum, MA - Medicare Psychologist in Williamsport, PA