Charles Buckley Gillock, MD is a medicare enrolled "Urology" physician in Stuarts Draft, Virginia. He went to Virginia Commonwealth University, School Of Medicine and graduated in 1990 and has 34 years of diverse experience with area of expertise as Urology. He is a member of the group practice Blue Ridge Urological Pc, University Of Virginia Physicians Group and his current practice location is
24 Gloucester Rd, Stuarts Draft, Virginia. You can reach out to his office (for appointments etc.) via phone at
(540) 337-3710.
Charles Buckley Gillock is licensed to practice in Virginia (license number 0101047505) 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 1053309229.
Physician's Profile
| Full Name | Charles Buckley Gillock |
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| Gender | Male |
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| Speciality | Urology |
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| Experience | 34 Years |
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| Location | 24 Gloucester Rd, Stuarts Draft, Virginia |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Charles Buckley Gillock attended and graduated from Virginia Commonwealth University, School Of Medicine in 1990
NPI Data:
- NPI Number: 1053309229
- Provider Enumeration Date: 10/11/2005
- Last Update Date: 05/26/2022
Medicare PECOS Information:
- PECOS PAC ID: 2062507361
- Enrollment ID: I20091124000714
Medical Identifiers
Medical identifiers for Charles Buckley Gillock such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1053309229 | NPI | - | NPPES |
| 007501188 | Medicaid | VA | |
| 279040 | Other | VA | BCBS ANTHEM |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208800000X | Urology | 0101047505 (Virginia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Blue Ridge Urological Pc | 3779622196 | 10 |
| University Of Virginia Physicians Group | 4880590728 | 1415 |
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. Charles Buckley Gillock allows following entities to bill medicare on his behalf.
| Entity Name | University Of Virginia Physicians Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1033138250
PECOS PAC ID: 4880590728
Enrollment ID: O20040102000780 |
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| Entity Name | Blue Ridge Urological Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1528394228
PECOS PAC ID: 3779622196
Enrollment ID: O20091124000706 |
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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. Charles Buckley Gillock 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 |
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Charles Buckley Gillock, MD
Po Box 9007,
Charlottesville, VA 22906-9007
Ph: () - | Charles Buckley Gillock, MD
24 Gloucester Rd,
Stuarts Draft, VA 24477-3321
Ph: (540) 337-3710 |
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