Mr Connor Gilbert, NP is a medicare enrolled "Nurse Practitioner - Family" physician in Evans, Georgia. His current practice location is
465 N Belair Rd Ste 2b, Evans, Georgia. You can reach out to his office (for appointments etc.) via phone at
(706) 774-7400.
Mr Connor Gilbert is licensed to practice in Georgia (license number RN284014) 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 1174221469.
Physician's Profile
Full Name | Mr Connor Gilbert |
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Gender | Male |
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Speciality | Nurse Practitioner - Family |
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Location | 465 N Belair Rd Ste 2b, Evans, Georgia |
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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: 1174221469
- Provider Enumeration Date: 02/16/2023
- Last Update Date: 08/16/2024
Medicare PECOS Information:
- PECOS PAC ID: 5395101059
- Enrollment ID: I20230523000168
Medical Identifiers
Medical identifiers for Mr Connor Gilbert such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1174221469 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | RN284014 (Georgia) | Secondary |
363LF0000X | Nurse Practitioner - Family | RN284014 (Georgia) | 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. Mr Connor Gilbert allows following entities to bill medicare on his behalf.
Entity Name | University Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1871885806 PECOS PAC ID: 2567640915 Enrollment ID: O20110803000008 |
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Entity Name | Piedmont Medical Care Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1912956046 PECOS PAC ID: 6002802220 Enrollment ID: O20240126001874 |
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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. Mr Connor Gilbert 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 |
Mr Connor Gilbert, NP 732 Whitney Shoals Rd, Evans, GA 30809-1017 Ph: (770) 757-4688 | Mr Connor Gilbert, NP 465 N Belair Rd Ste 2b, Evans, GA 30809-3190 Ph: (706) 774-7400 |
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