Dr John Malcolm Gillis, DMD in Phoenix, AZ - Medicare Oral Surgery Provider

Dr John Malcolm Gillis, DMD is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" provider in Phoenix, Arizona. He went to University Of Mississippi School Of Medicine and graduated in 2000 and has 24 years of diverse experience with area of expertise as Oral Surgery. He is a member of the group practice Banner - University Physician Specialists Llc and his current practice location is 1441 N 12th St Fl 23, Phoenix, Arizona. You can reach out to his office (for appointments etc.) via phone at (602) 521-5150.

Dr John Malcolm Gillis is licensed to practice in Arizona (license number 6147) 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 1083673610.

Contact Information

	Dr John Malcolm Gillis, DMD
	1441 N 12th St Fl 23, Phoenix, AZ 85006-2837
	(602) 521-5150
	(602) 521-5151

Map and Direction

Healthcare Provider's Profile

Full Name	Dr John Malcolm Gillis
Gender	Male
Speciality	Oral Surgery
Experience	24 Years
Location	1441 N 12th St Fl 23, Phoenix, Arizona
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr John Malcolm Gillis attended and graduated from University Of Mississippi School Of Medicine in 2000

NPI Data:

NPI Number: 1083673610
Provider Enumeration Date: 03/22/2006
Last Update Date: 01/17/2022

Medicare PECOS Information:

PECOS PAC ID: 5193745172
Enrollment ID: I20051206000381

Medical Identifiers

Medical identifiers for Dr John Malcolm Gillis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083673610	NPI	-	NPPES
931982	Medicaid	AZ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223S0112X	Dentist - Oral And Maxillofacial Surgery	6147 (Arizona)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Banner - University Medical Center Phoenix	Phoenix, AZ	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Banner - University Physician Specialists Llc	5991008054	241

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. Dr John Malcolm Gillis allows following entities to bill medicare on his behalf.

Entity Name	Banner - University Physician Specialists Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437529245 PECOS PAC ID: 5991008054 Enrollment ID: O20160122001476

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. Dr John Malcolm Gillis 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
Dr John Malcolm Gillis, DMD 1111 E Mcdowell Rd, Phoenix, AZ 85006-2612 Ph: (602) 521-5150	Dr John Malcolm Gillis, DMD 1441 N 12th St Fl 23, Phoenix, AZ 85006-2837 Ph: (602) 521-5150

Reviews and Comments

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Dr John Malcolm Gillis, DMD - Medicare Dentist in Phoenix, AZ