David Gillenwater, MD is a medicare enrolled "Anesthesiology" physician in Great Bend, Kansas. He went to University Of Kansas School Of Med (kc/wich/sal) and graduated in 1986 and has 38 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice Ukhs Great Bend Llc and his current practice location is
3515 Broadway Ave, Great Bend, Kansas. You can reach out to his office (for appointments etc.) via phone at
(620) 792-2511.
David Gillenwater is licensed to practice in Kansas (license number 0421903) 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 1427026384.
Physician's Profile
| Full Name | David Gillenwater |
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| Gender | Male |
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| Speciality | Anesthesiology |
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| Experience | 38 Years |
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| Location | 3515 Broadway Ave, Great Bend, Kansas |
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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:
- David Gillenwater attended and graduated from University Of Kansas School Of Med (kc/wich/sal) in 1986
NPI Data:
- NPI Number: 1427026384
- Provider Enumeration Date: 03/08/2006
- Last Update Date: 06/03/2008
Medicare PECOS Information:
- PECOS PAC ID: 2668375619
- Enrollment ID: I20041123000954
Medical Identifiers
Medical identifiers for David Gillenwater such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1427026384 | NPI | - | NPPES |
| 045282 | Other | KS | BCBS |
| 050022332 | Other | | RAILROAD MEDICARE |
| 100142910A | Medicaid | KS | |
| 481129529 | Other | | TRICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207L00000X | Anesthesiology | 0421903 (Kansas) | Primary |
| 207LA0401X | Anesthesiology - Addiction Medicine | 0421903 (Kansas) | Secondary |
| 207LC0200X | Anesthesiology - Critical Care Medicine | 0421903 (Kansas) | Secondary |
| 207LP2900X | Anesthesiology - Pain Medicine | 0421903 (Kansas) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Ukhs Great Bend Llc | 5597016378 | 68 |
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. David Gillenwater allows following entities to bill medicare on his behalf.
| Entity Name | Central Kansas Anesthesia Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1497723225
PECOS PAC ID: 8325940497
Enrollment ID: O20040128000846 |
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| Entity Name | Ukhs Great Bend Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1962997197
PECOS PAC ID: 5597016378
Enrollment ID: O20180918000770 |
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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. David Gillenwater 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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David Gillenwater, MD
Po Box 48037,
Wichita, KS 67201-8037
Ph: (316) 685-6112 | David Gillenwater, MD
3515 Broadway Ave,
Great Bend, KS 67530-3633
Ph: (620) 792-2511 |
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