Edwin V. Gumapas M.d. Pc - Medicare Mental Health Clinic in Crystal Lake, IL

Edwin V. Gumapas M.d. Pc is a medicare enrolled mental health clinic (Psychiatry & Neurology - Psychiatry) in Crystal Lake, Illinois. The current practice location for Edwin V. Gumapas M.d. Pc is 44 N Virginia St, Suite 2b, Crystal Lake, Illinois. For appointments, you can reach them via phone at (815) 356-0475. The mailing address for Edwin V. Gumapas M.d. Pc is 44 N Virginia St, Suite 2b, Crystal Lake, Illinois and phone number is (815) 356-0475.

Edwin V. Gumapas M.d. Pc is licensed to practice in Illinois (license number 036084823). The clinic also participates in the medicare program and its NPI number is 1114126000. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (815) 356-0475.

Contact Information

Edwin V. Gumapas M.d. Pc
44 N Virginia St
Suite 2b
Crystal Lake
IL 60014-4106
(815) 356-0475
(815) 356-0796

Mental Health Clinic Profile

Full NameEdwin V. Gumapas M.d. Pc
SpecialityPsychiatry & Neurology
Location44 N Virginia St, Crystal Lake, Illinois
Authorized Official Name and PositionDawn Thomas (OFFICE MANAGER)
Authorized Official Contact8153560475
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Edwin V. Gumapas M.d. Pc
44 N Virginia St
Suite 2b
Crystal Lake
IL 60014-4106

Ph: (815) 356-0475
Edwin V. Gumapas M.d. Pc
44 N Virginia St
Suite 2b
Crystal Lake
IL 60014-4106

Ph: (815) 356-0475

NPI Details:

NPI Number1114126000
Provider Enumeration Date07/12/2007
Last Update Date10/18/2011

Medicare PECOS Information:

Medicare PECOS PAC ID2466357215
Medicare Enrollment IDO20031204000485

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Medical Identifiers

Medical identifiers for Edwin V. Gumapas M.d. Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114126000NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry 036084823 (Illinois)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Edwin V. Gumapas M.d. Pc acts as a billing entity for following providers:
Provider NameEdwin V Gumapas
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1033101092
PECOS PAC ID: 4981509734
Enrollment ID: I20031208000368

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