Michelle A Fontenelle-gilmer, MD - Medicare Psychiatry & Neurology in Las Vegas, NV

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Michelle A Fontenelle-gilmer, MD is a medicare enrolled "Psychiatry & Neurology - Child & Adolescent Psychiatry" physician in Las Vegas, Nevada. Her current practice location is 3014 W Charleston Blvd Ste 130, Las Vegas, Nevada. You can reach out to her office (for appointments etc.) via phone at (702) 671-6475.

Michelle A Fontenelle-gilmer is licensed to practice in Nevada (license number 15137) 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 1053472449.

Contact Information

Michelle A Fontenelle-gilmer, MD
3014 W Charleston Blvd Ste 130,
Las Vegas, NV 89102-0083
(702) 671-6475
(702) 671-6440

Map and Direction




Physician's Profile

Full NameMichelle A Fontenelle-gilmer
GenderFemale
SpecialityPsychiatry & Neurology - Child & Adolescent Psychiatry
Location3014 W Charleston Blvd Ste 130, Las Vegas, Nevada
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1053472449
  • Provider Enumeration Date: 12/12/2006
  • Last Update Date: 06/02/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 3476518853
  • Enrollment ID: I20150610000020

Medical Identifiers

Medical identifiers for Michelle A Fontenelle-gilmer such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053472449NPI-NPPES
4377332MedicaidMI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry 4301077469 (Michigan)Secondary
2084P0804XPsychiatry & Neurology - Child & Adolescent Psychiatry 15137 (Nevada)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. Michelle A Fontenelle-gilmer allows following entities to bill medicare on her behalf.
Entity NameFocus Mental Health Solutions Bhushan Manjooran Wirjo Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336483742
PECOS PAC ID: 9537312863
Enrollment ID: O20130116000365
Entity NameUnlv Medicine
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407397235
PECOS PAC ID: 4183991458
Enrollment ID: O20170517002454

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. Michelle A Fontenelle-gilmer 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 AddressPractice Location Address
Michelle A Fontenelle-gilmer, MD
3016 W Charleston Blvd Ste 100,
Las Vegas, NV 89102-1973

Ph: () -		Michelle A Fontenelle-gilmer, MD
3014 W Charleston Blvd Ste 130,
Las Vegas, NV 89102-0083

Ph: (702) 671-6475

Reviews and Comments


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Eden Santiago Lee, M.D.
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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.