Jeffery Hillam, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Harrisburg, Pennsylvania. His current practice location is
205 S Front St, Harrisburg, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(717) 231-8775.
Jeffery Hillam is licensed to practice in Pennsylvania (license number MT219035) 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 1750841110.
Physician's Profile
Full Name | Jeffery Hillam |
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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 | 205 S Front St, Harrisburg, Pennsylvania |
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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: 1750841110
- Provider Enumeration Date: 03/21/2019
- Last Update Date: 08/11/2020
Medicare PECOS Information:
- PECOS PAC ID: 7719213313
- Enrollment ID: I20220923001396
Medical Identifiers
Medical identifiers for Jeffery Hillam such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1750841110 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | HS000102L (Pennsylvania) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | MT219035 (Pennsylvania) | Primary |
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. Jeffery Hillam allows following entities to bill medicare on his behalf.
Entity Name | Emergency Physicians Integrated Care Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1578598199 PECOS PAC ID: 4284548116 Enrollment ID: O20031115000013 |
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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. Jeffery Hillam 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 |
Jeffery Hillam, MD 205 S Front St, Harrisburg, PA 17104-1619 Ph: () - | Jeffery Hillam, MD 205 S Front St, Harrisburg, PA 17104 Ph: (717) 231-8775 |
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