Theresa Mary Gille, MD is a medicare enrolled "Otolaryngology" physician in Aganaheights, Guam, Guam. Her current practice location is
Us Naval Hospital Guam, Bldg 50, Farenholt Avenue, Aganaheights, Guam, Guam. You can reach out to her office (for appointments etc.) via phone at
(671) 344-9340.
Theresa Mary Gille is licensed to practice in Virginia (license number 0101240253) 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 1063474336.
Physician's Profile
Full Name | Theresa Mary Gille |
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Gender | Female |
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Speciality | Otolaryngology |
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Location | Us Naval Hospital Guam, Aganaheights, Guam, Guam |
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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: 1063474336
- Provider Enumeration Date: 04/03/2006
- Last Update Date: 09/19/2023
Medicare PECOS Information:
- PECOS PAC ID: 7911144019
- Enrollment ID: I20231222002594
Medical Identifiers
Medical identifiers for Theresa Mary Gille such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063474336 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Y00000X | Otolaryngology | MD-P-2023-002 (Guam) | Secondary |
207Y00000X | Otolaryngology | 0101240253 (Virginia) | 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. Theresa Mary Gille allows following entities to bill medicare on her behalf.
Entity Name | Guam Healthcare Development Incorporated |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1326447939 PECOS PAC ID: 9234351776 Enrollment ID: O20150326000266 |
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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. Theresa Mary Gille 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 |
Theresa Mary Gille, MD Psc 455 Box 208, Fpo, AP 96540-0003 Ph: (671) 682-8996 | Theresa Mary Gille, MD Us Naval Hospital Guam, Bldg 50, Farenholt Avenue, Aganaheights, Guam, GU 96910 Ph: (671) 344-9340 |
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