Lance Gator Gault, DO in Clovis, CA - Medicare Family Practice

Lance Gator Gault, DO is a medicare enrolled "Family Medicine" physician in Clovis, California. He went to College Of Osteo Med Of The Pacific At Pomona and graduated in 2006 and has 18 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Permanente Medical Group Inc and his current practice location is 2740 Herndon Ave, Clovis, California. You can reach out to his office (for appointments etc.) via phone at (559) 299-2608.

Lance Gator Gault is licensed to practice in California (license number 20A10128) 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 1164615811.

Contact Information

	Lance Gator Gault, DO
	2740 Herndon Ave, Clovis, CA 93611-6813
	(559) 299-2608
	(559) 299-1341

Map and Direction

Physician's Profile

Full Name	Lance Gator Gault
Gender	Male
Speciality	Family Practice
Experience	18 Years
Location	2740 Herndon Ave, Clovis, California
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:

Lance Gator Gault attended and graduated from College Of Osteo Med Of The Pacific At Pomona in 2006

NPI Data:

NPI Number: 1164615811
Provider Enumeration Date: 08/24/2007
Last Update Date: 01/19/2022

Medicare PECOS Information:

PECOS PAC ID: 1951465095
Enrollment ID: I20090204000228

Medical Identifiers

Medical identifiers for Lance Gator Gault such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164615811	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	20A10128 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Hinds Hospice - Fresno	Fresno, CA	Hospice
Optimal Hospice Care	Fresno, CA	Hospice

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Permanente Medical Group Inc	8921910225	8376

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. Lance Gator Gault allows following entities to bill medicare on his behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Lance Gator Gault 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
Lance Gator Gault, DO 2740 Herndon Ave, Clovis, CA 93611-6813 Ph: (559) 299-2608	Lance Gator Gault, DO 2740 Herndon Ave, Clovis, CA 93611-6813 Ph: (559) 299-2608

Reviews and Comments

Family Medicine Doctors in Clovis, CA

Dr. Meenakshi Dhingra, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2740 Herndon Ave, Clovis, CA 93611 Phone: 559-299-2608 Fax: 559-299-1341
Dr. Nadia Javaid, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2006 Shaw Ave Ste 101, Clovis, CA 93611 Phone: 559-450-5880 Fax: 559-450-5881
Umair Khalid, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2006 Shaw Ave, Clovis, CA 93611 Phone: 559-450-5880 Fax: 559-450-5881
Ms. Jyothi Ranga Patri, M.D., MHA Family Medicine Medicare: Medicare Enrolled Practice Location: 2740 Herndon Ave, Clovis, CA 93611 Phone: 559-299-2578
Jeffrey Todd Gardner, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 221 W Fir Ave #101, Clovis, CA 93611 Phone: 559-299-7294 Fax: 559-299-0641
Kevin Wingert, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2131 Herndon Ave Ste 101, Clovis, CA 93611 Phone: 559-297-3700 Fax: 559-297-3701
Marybeth Yuskavage, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 221 W Fir Ave, Suite 101, Clovis, CA 93611 Phone: 559-299-7294 Fax: 559-299-0641

Lance Gator Gault, DO - Medicare Family Practice in Clovis, CA