Dr Timothy Justin Gillenwater, MD in Los Angeles, CA - Medicare Plastic And Reconstructive Surgery

Dr Timothy Justin Gillenwater, MD is a medicare enrolled "Plastic Surgery" physician in Los Angeles, California. He went to Washington University School Of Medicine and graduated in 2007 and has 17 years of diverse experience with area of expertise as Plastic And Reconstructive Surgery. He is a member of the group practice Usc Care Medical Group Inc and his current practice location is 1450 San Pablo St Ste 6200, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at (323) 442-7920.

Dr Timothy Justin Gillenwater is licensed to practice in California (license number A108333) 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 1275763922.

Contact Information

	Dr Timothy Justin Gillenwater, MD
	1450 San Pablo St Ste 6200, Los Angeles, CA 90033-5331
	(323) 442-7920
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Timothy Justin Gillenwater
Gender	Male
Speciality	Plastic And Reconstructive Surgery
Experience	17 Years
Location	1450 San Pablo St Ste 6200, Los Angeles, California
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 Timothy Justin Gillenwater attended and graduated from Washington University School Of Medicine in 2007

NPI Data:

NPI Number: 1275763922
Provider Enumeration Date: 07/15/2009
Last Update Date: 11/27/2023

Medicare PECOS Information:

PECOS PAC ID: 8123150638
Enrollment ID: I20100720000176

Medical Identifiers

Medical identifiers for Dr Timothy Justin Gillenwater such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275763922	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208200000X	Plastic Surgery	A108333 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Usc Verdugo Hills Hospital	Glendale, CA	Hospital
Lac+usc Medical Center	Los angeles, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Usc Care Medical Group Inc	0446157747	1142

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 Timothy Justin Gillenwater allows following entities to bill medicare on his behalf.

Entity Name	Usc Care Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902846306 PECOS PAC ID: 0446157747 Enrollment ID: O20050512000412

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 Timothy Justin 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
Dr Timothy Justin Gillenwater, MD Po Box 31309, Los Angeles, CA 90031-0309 Ph: (323) 442-7920	Dr Timothy Justin Gillenwater, MD 1450 San Pablo St Ste 6200, Los Angeles, CA 90033-5331 Ph: (323) 442-7920

Reviews and Comments

Plastic Surgery Doctors in Los Angeles, CA

Dr. Debra Louise Stafford, M.D Plastic Surgery Medicare: Medicare Enrolled Practice Location: 6051 West San Vicente Blvd, Los Angeles, CA 90036 Phone: 323-954-9162
Timothy A Miller, MD Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 200 Medical Plaza, #465, Los Angeles, CA 90095 Phone: 310-825-5510
Dr. Melvyn Bircoll, M.D. Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 2337 Roscomare Rd, # 219, Los Angeles, CA 90077 Phone: 310-471-1550 Fax: 310-471-5970
Dr. Adelyn Lindsay Ho, MD MPH Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1200 N State St, Clinic Tower Suite A7d, Los Angeles, CA 90033 Phone: 323-442-7903 Fax: 323-442-7901
Dr. Carolyn Jean Conboy, D.O. Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 955 Carrillo Dr Ste 105, Los Angeles, CA 90048 Phone: 323-934-4266
Dr. Christopher Alexander Campbell, M.D. Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1450 San Pablo St Ste 2000, University Of Southern California Plastic Surgery, Los Angeles, CA 90033 Phone: 323-442-6457
Dr. Michael Delong, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 200 Ucla Medical Plz Ste 460, Los Angeles, CA 90095 Phone: 310-825-5582

Dr Timothy Justin Gillenwater, MD - Medicare Plastic And Reconstructive Surgery in Los Angeles, CA