Dr Michael David Gillins, DMD is a medicare enrolled "Clinic/center - Dental" provider in Blue Hill, Maine. His current practice location is
292 South St, Blue Hill, Maine. You can reach out to his office (for appointments etc.) via phone at
(207) 374-5398.
Dr Michael David Gillins is licensed to practice in Maine (license number DEN4832) 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 1528323102.
Healthcare Provider's Profile
| Full Name | Dr Michael David Gillins |
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| Gender | Male |
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| Speciality | Clinic/center - Dental |
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| Location | 292 South St, Blue Hill, Maine |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1528323102
- Provider Enumeration Date: 07/10/2012
- Last Update Date: 11/30/2020
Medicare PECOS Information:
- PECOS PAC ID: 0345578324
- Enrollment ID: I20190829001011
Medical Identifiers
Medical identifiers for Dr Michael David Gillins such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1528323102 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | 30-023735 (Ohio) | Secondary |
| 1223P0700X | Dentist - Prosthodontics | 30.023735 (Ohio) | Secondary |
| 1223P0700X | Dentist - Prosthodontics | 1002001 (Wisconsin) | Secondary |
| 261QD0000X | Clinic/center - Dental | DEN4832 (Maine) | 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. Dr Michael David Gillins allows following entities to bill medicare on his behalf.
| Entity Name | Gundersen Clinic Ltd |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1851343115
PECOS PAC ID: 9638082779
Enrollment ID: O20031106000139 |
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| Entity Name | Gundersen Lutheran Medical Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1376593442
PECOS PAC ID: 2163331414
Enrollment ID: O20130619000254 |
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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. Dr Michael David Gillins 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 Michael David Gillins, DMD
Po Box 1658,
Blue Hill, ME 04614-1658
Ph: (207) 374-5398 | Dr Michael David Gillins, DMD
292 South St,
Blue Hill, ME 04614-6122
Ph: (207) 374-5398 |
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