Gregory Churchill, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Jacksonville, Florida. His current practice location is
655 W 8th St, Jacksonville, Florida. You can reach out to his office (for appointments etc.) via phone at
(904) 244-0411.
Gregory Churchill is licensed to practice in * (Not Available) (license number ) 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 1356848501.
Physician's Profile
Full Name | Gregory Churchill |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 655 W 8th St, Jacksonville, Florida |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1356848501
- Provider Enumeration Date: 04/12/2018
- Last Update Date: 09/04/2024
Medicare PECOS Information:
- PECOS PAC ID: 4486904547
- Enrollment ID: I20180911001890
Medical Identifiers
Medical identifiers for Gregory Churchill such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1356848501 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | DO218700 (Oregon) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
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. Gregory Churchill 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 |
Gregory Churchill, DO 1305 Escalante Dr Ste 204, Durango, CO 81303-8932 Ph: (970) 385-4022 | Gregory Churchill, DO 655 W 8th St, Jacksonville, FL 32209-6511 Ph: (904) 244-0411 |
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