John S Gilliam, MD is a medicare enrolled "Family Medicine" physician in Mayer, Arizona. He went to Oral Roberts University School Of Medicine and graduated in 1986 and has 38 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Carelock Llc, Carelock Llc and his current practice location is
20172 E Stagecoach Trl, Mayer, Arizona. You can reach out to his office (for appointments etc.) via phone at
(800) 288-6206.
John S Gilliam is licensed to practice in Arizona (license number 41469) 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 1003877085.
Physician's Profile
| Full Name | John S Gilliam |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 38 Years |
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| Location | 20172 E Stagecoach Trl, Mayer, Arizona |
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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:
- John S Gilliam attended and graduated from Oral Roberts University School Of Medicine in 1986
NPI Data:
- NPI Number: 1003877085
- Provider Enumeration Date: 03/30/2006
- Last Update Date: 07/01/2020
Medicare PECOS Information:
- PECOS PAC ID: 7618989831
- Enrollment ID: I20060706000299
Medical Identifiers
Medical identifiers for John S Gilliam such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1003877085 | NPI | - | NPPES |
| 100044450B | Medicaid | OK | |
| 600874 | Other | AZ | AHCCCS (ARIZONA MEDICAID) ID |
| Z144938 | Other | AZ | MEDICARE PTAN |
| 100044450A | Medicaid | OK | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | 16226 (Oklahoma) | Secondary |
| 207Q00000X | Family Medicine | 41469 (Arizona) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Carelock Llc | 9436491172 | 8 |
| Carelock Llc | 9436491172 | 8 |
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. John S Gilliam allows following entities to bill medicare on his behalf.
| Entity Name | Carelock Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245795459
PECOS PAC ID: 9436491172
Enrollment ID: O20190823000616 |
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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. John S Gilliam 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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John S Gilliam, MD
15029 N Thompson Peak Parkway, Ste B-111 Pmb 438,
Scottsdale, AZ 85260-2223
Ph: (405) 590-8861 | John S Gilliam, MD
20172 E Stagecoach Trl,
Mayer, AZ 86333-2357
Ph: (800) 288-6206 |
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