Nicholas Gammello, in Brainerd, MN - Medicare Psychologist Provider

Nicholas Gammello, is a medicare enrolled "Psychologist" provider in Brainerd, Minnesota. His current practice location is 18510 State Highway 371 Ste D, Brainerd, Minnesota. You can reach out to his office (for appointments etc.) via phone at (218) 838-4209.

Nicholas Gammello is licensed to practice in Minnesota (license number 1437) 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 1558383000.

Contact Information

	Nicholas Gammello,
	18510 State Highway 371 Ste D, Brainerd, MN 56401-6996
	(218) 838-4209
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Nicholas Gammello
Gender	Male
Speciality	Psychologist
Location	18510 State Highway 371 Ste D, Brainerd, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1558383000
Provider Enumeration Date: 07/24/2006
Last Update Date: 11/19/2024

Medicare PECOS Information:

PECOS PAC ID: 5890107056
Enrollment ID: I20250115002223

Medical Identifiers

Medical identifiers for Nicholas Gammello such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558383000	NPI	-	NPPES
62Q99GA	Other	MN	BLUE CROSS
731353500	Medicaid	MN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	1437 (Minnesota)	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. Nicholas Gammello allows following entities to bill medicare on his behalf.

Entity Name	Cornerstone Counseling Center, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386461077 PECOS PAC ID: 8325576564 Enrollment ID: O20250115002188

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. Nicholas Gammello 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
Nicholas Gammello, 11636 Fairway Rd, East Gull Lake, MN 56401-2099 Ph: (218) 838-4209	Nicholas Gammello, 18510 State Highway 371 Ste D, Brainerd, MN 56401-6996 Ph: (218) 838-4209

Reviews and Comments

Psychologist in Brainerd, MN

Ms. Denise Bowen Iverson, MS LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 520 Nw 5th St, Brainerd, MN 56401 Phone: 218-829-3235 Fax: 218-829-1368
Frank F Weber, MS, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 617 Oak St, Brainerd, MN 56401 Phone: 218-829-7140
Dr. Kevin James Edwards, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 520 Nw 5th St, Brainerd, MN 56401 Phone: 218-829-3235 Fax: 218-829-1368
Ruth Ann Schaefer, MSLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 115 1st Street N, Brainerd, MN 56401 Phone: 218-828-6274 Fax: 218-828-4209
Dr. Gary Edwin Gunderson, ED. D, MS LP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 702 Sw 5th St, Brainerd, MN 56401 Phone: 218-454-6369
Carol J Schwarzkopf, PHD LP Psychologist Medicare: Medicare Enrolled Practice Location: 217 S 7th St Ste 215, Brainerd, MN 56401 Phone: 218-828-4602
Mr. Gerald Edward Jensen Jr., MA, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2155 Antler Dr Sw, Brainerd, MN 56401 Phone: 218-822-3736

Nicholas Gammello, - Medicare Psychologist in Brainerd, MN