Charles M Gill Jr, MD is a medicare enrolled "Urology" physician in Washington, Missouri. He went to University Of Tennessee, Hsc, College Of Medicine and graduated in 1984 and has 40 years of diverse experience with area of expertise as Urology. He is a member of the group practice Mercy Clinic Urology Llc and his current practice location is
901 Patients First Dr Ste 3400, Washington, Missouri. You can reach out to his office (for appointments etc.) via phone at
(636) 239-5155.
Charles M Gill Jr is licensed to practice in Missouri (license number 2018019483) 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 1265402879.
Physician's Profile
Full Name | Charles M Gill Jr |
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Gender | Male |
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Speciality | Urology |
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Experience | 40 Years |
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Location | 901 Patients First Dr Ste 3400, Washington, Missouri |
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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. |
Medical Education and Training:
- Charles M Gill Jr attended and graduated from University Of Tennessee, Hsc, College Of Medicine in 1984
NPI Data:
- NPI Number: 1265402879
- Provider Enumeration Date: 01/25/2006
- Last Update Date: 08/02/2018
Medicare PECOS Information:
- PECOS PAC ID: 7214066851
- Enrollment ID: I20180809004080
Medical Identifiers
Medical identifiers for Charles M Gill Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1265402879 | NPI | - | NPPES |
340013304 | Other | TN | RR MEDICARE |
0092790 | Other | TN | BLUE CROSS |
3044902 | Medicaid | TN | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208800000X | Urology | MD19748 (Tennessee) | Secondary |
208800000X | Urology | 2018019483 (Missouri) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Mercy Clinic Urology Llc | 5395768253 | 24 |
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 M Gill Jr allows following entities to bill medicare on his behalf.
Entity Name | Mercy Clinic Urology Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1669502274 PECOS PAC ID: 5395768253 Enrollment ID: O20060220000502 |
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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 M Gill Jr 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 |
Charles M Gill Jr, MD 901 Patients First Dr Ste 3400, Washington, MO 63090-4700 Ph: (636) 239-5155 | Charles M Gill Jr, MD 901 Patients First Dr Ste 3400, Washington, MO 63090 Ph: (636) 239-5155 |
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