William Charles Gambla, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Birmingham, Alabama. His current practice location is
700 18th St S Ste 601, Birmingham, Alabama. You can reach out to his office (for appointments etc.) via phone at
(205) 996-8660.
William Charles Gambla is licensed to practice in * (Not Available) (license number ) 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 1104489434.
Physician's Profile
Full Name | William Charles Gambla |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 700 18th St S Ste 601, Birmingham, Alabama |
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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: 1104489434
- Provider Enumeration Date: 04/22/2019
- Last Update Date: 06/30/2023
Medicare PECOS Information:
- PECOS PAC ID: 6608109525
- Enrollment ID: I20230822000974
Medical Identifiers
Medical identifiers for William Charles Gambla such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1104489434 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207W00000X | Ophthalmology | MD.46435 (Alabama) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. William Charles Gambla allows following entities to bill medicare on his behalf.
Entity Name | University Of Alabama Ophthalmology Services Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1265485999 PECOS PAC ID: 9234023417 Enrollment ID: O20040210000034 |
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Entity Name | Uab Callahan Eye Hospital Authority |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1023358850 PECOS PAC ID: 1557516895 Enrollment ID: O20130312000475 |
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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. William Charles Gambla 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 |
William Charles Gambla, MD 700 18th St S Ste 601, Birmingham, AL 35233-3800 Ph: (205) 996-8660 | William Charles Gambla, MD 700 18th St S Ste 601, Birmingham, AL 35233-3800 Ph: (205) 996-8660 |
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