Zachary D Gillooly, MD is a medicare enrolled "Dermatology" physician in Wpafb, Ohio. His current practice location is
4881 Sugar Maple Dr, Wpafb, Ohio. You can reach out to his office (for appointments etc.) via phone at
(937) 257-1574.
Zachary D Gillooly is licensed to practice in Colorado (license number DR.0063949) 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 1588019707.
Physician's Profile
Full Name | Zachary D Gillooly |
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Gender | Male |
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Speciality | Dermatology |
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Location | 4881 Sugar Maple Dr, Wpafb, Ohio |
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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: 1588019707
- Provider Enumeration Date: 04/25/2016
- Last Update Date: 09/21/2021
Medicare PECOS Information:
- PECOS PAC ID: 8325328438
- Enrollment ID: I20210325002737
Medical Identifiers
Medical identifiers for Zachary D Gillooly such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1588019707 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207N00000X | Dermatology | DR.0063949 (Colorado) | Primary |
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. Zachary D Gillooly 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 |
Zachary D Gillooly, MD 88 Mdg/sghj, 4881 Sugar Maple Dr, Wpafb, OH 45433 Ph: (937) 257-1574 | Zachary D Gillooly, MD 4881 Sugar Maple Dr, Wpafb, OH 45433-5529 Ph: (937) 257-1574 |
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