Theopolis Gilliam Jr, MD is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Emporia, Virginia. He went to Howard University College Of Medicine and graduated in 1984 and has 40 years of diverse experience with area of expertise as Gastroenterology. He is a member of the group practice Bon Secours Medical Group Richmond Specialty Care Llc and his current practice location is
702 N Main St, Emporia, Virginia. You can reach out to his office (for appointments etc.) via phone at
(434) 594-6603.
Theopolis Gilliam Jr is licensed to practice in Virginia (license number 0101041278) 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 1174566558.
Physician's Profile
Full Name | Theopolis Gilliam Jr |
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Gender | Male |
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Speciality | Gastroenterology |
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Experience | 40 Years |
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Location | 702 N Main St, Emporia, Virginia |
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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:
- Theopolis Gilliam Jr attended and graduated from Howard University College Of Medicine in 1984
NPI Data:
- NPI Number: 1174566558
- Provider Enumeration Date: 06/14/2006
- Last Update Date: 02/06/2020
Medicare PECOS Information:
- PECOS PAC ID: 5193888022
- Enrollment ID: I20090120000294
Medical Identifiers
Medical identifiers for Theopolis Gilliam Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1174566558 | NPI | - | NPPES |
187123 | Other | VA | BLUE SHIELD |
6919392 | Other | | CIGNA |
005818613 | Medicaid | VA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207RG0100X | Internal Medicine - Gastroenterology | 0101041278 (Virginia) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Bon Secours Medical Group Richmond Specialty Care Llc | 8022440056 | 250 |
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. Theopolis Gilliam Jr allows following entities to bill medicare on his behalf.
Entity Name | Bon Secours Medical Group Richmond Specialty Care Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1477112225 PECOS PAC ID: 8022440056 Enrollment ID: O20191113002170 |
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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. Theopolis Gilliam Jr 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 |
Theopolis Gilliam Jr, MD 8580 Magellan Pkwy, Richmond, VA 23227-1149 Ph: (804) 765-6650 | Theopolis Gilliam Jr, MD 702 N Main St, Emporia, VA 23847-1242 Ph: (434) 594-6603 |
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