Jared Gilmore Iii, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Thibodaux, Louisiana. He went to Louisiana State University School Of Medicine In New Orleans and graduated in 1989 and has 35 years of diverse experience with area of expertise as Cardiovascular Disease (cardiology). He is a member of the group practice Thibodaux Regional Network Development Corporation and his current practice location is
604 N Acadia Rd, Ste 409, Thibodaux, Louisiana. You can reach out to his office (for appointments etc.) via phone at
(985) 449-4670.
Jared Gilmore Iii is licensed to practice in Louisiana (license number 020594) 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 1083685770.
Physician's Profile
Full Name | Jared Gilmore Iii |
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Gender | Male |
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Speciality | Cardiovascular Disease (cardiology) |
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Experience | 35 Years |
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Location | 604 N Acadia Rd, Thibodaux, Louisiana |
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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:
- Jared Gilmore Iii attended and graduated from Louisiana State University School Of Medicine In New Orleans in 1989
NPI Data:
- NPI Number: 1083685770
- Provider Enumeration Date: 01/30/2006
- Last Update Date: 02/08/2017
Medicare PECOS Information:
- PECOS PAC ID: 6002832839
- Enrollment ID: I20051202000222
Medical Identifiers
Medical identifiers for Jared Gilmore Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1083685770 | NPI | - | NPPES |
1902560 | Medicaid | LA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | 020594 (Louisiana) | Secondary |
208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 020594 (Louisiana) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Thibodaux Regional Network Development Corporation | 8224011754 | 99 |
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. Jared Gilmore Iii allows following entities to bill medicare on his behalf.
Entity Name | Louisiana State University School Of Medicine In New Orleans Faculty G |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1477582526 PECOS PAC ID: 0244136448 Enrollment ID: O20031209000661 |
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Entity Name | Thibodaux Regional Network Development Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1285658310 PECOS PAC ID: 8224011754 Enrollment ID: O20040608000132 |
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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. Jared Gilmore Iii 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 |
Jared Gilmore Iii, MD Po Box 5478, Ste 409, Thibodaux, LA 70302-5478 Ph: (985) 449-4670 | Jared Gilmore Iii, MD 604 N Acadia Rd, Ste 409, Thibodaux, LA 70301-4897 Ph: (985) 449-4670 |
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