Kristine Gillis, AG-ACNP is a medicare enrolled "Nurse Practitioner - Gerontology" physician in Charlottesville, Virginia. Her current practice location is
1240 Lee St, Charlottesville, Virginia. You can reach out to her office (for appointments etc.) via phone at
(434) 924-9333.
Kristine Gillis is licensed to practice in Virginia (license number 0024185361) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1245950716.
Physician's Profile
| Full Name | Kristine Gillis |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Gerontology |
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| Location | 1240 Lee St, Charlottesville, Virginia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1245950716
- Provider Enumeration Date: 09/02/2022
- Last Update Date: 08/09/2023
Medicare PECOS Information:
- PECOS PAC ID: 3971979204
- Enrollment ID: I20221012000223
Medical Identifiers
Medical identifiers for Kristine Gillis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1245950716 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207RH0003X | Internal Medicine - Hematology & Oncology | 0024185361 (Virginia) | Secondary |
| 363LG0600X | Nurse Practitioner - Gerontology | 0024185361 (Virginia) | 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. Kristine Gillis allows following entities to bill medicare on her behalf.
| Entity Name | University Of Virginia Physicians Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1033138250
PECOS PAC ID: 4880590728
Enrollment ID: O20040102000780 |
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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. Kristine Gillis 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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Kristine Gillis, AG-ACNP
Po Box 9007,
Charlottesville, VA 22906-9007
Ph: () - | Kristine Gillis, AG-ACNP
1240 Lee St,
Charlottesville, VA 22908-0817
Ph: (434) 924-9333 |
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