Nevin Gillis, MD is a medicare enrolled "General Practice" physician in St John, North Dakota. His current practice location is
128 Foussard Ave Nw, St John, North Dakota. You can reach out to his office (for appointments etc.) via phone at
(701) 477-3111.
Nevin Gillis is licensed to practice in North Dakota (license number 19747) 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 1639758980.
Physician's Profile
Full Name | Nevin Gillis |
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Gender | Male |
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Speciality | General Practice |
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Location | 128 Foussard Ave Nw, St John, North Dakota |
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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: 1639758980
- Provider Enumeration Date: 04/05/2021
- Last Update Date: 09/06/2023
Medicare PECOS Information:
- PECOS PAC ID: 1052767399
- Enrollment ID: I20231024000240
Medical Identifiers
Medical identifiers for Nevin Gillis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1639758980 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 19747 (North Dakota) | 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. Nevin Gillis allows following entities to bill medicare on his behalf.
Entity Name | Northland Health Partners Community Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1457435802 PECOS PAC ID: 1557270113 Enrollment ID: O20031106000411 |
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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. Nevin 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 |
Nevin Gillis, MD 104 Main St, Turtle Lake, ND 58575-4001 Ph: (877) 609-3577 | Nevin Gillis, MD 128 Foussard Ave Nw, St John, ND 58369 Ph: (701) 477-3111 |
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