Carol A Gillis, AA | |
234 Goodman St, Cincinnati, OH 45219-2364 | |
(513) 475-8282 | |
(513) 475-8283 |
Full Name | Carol A Gillis |
---|---|
Gender | Female |
Speciality | Anesthesiologist Assistant |
Location | 234 Goodman St, Cincinnati, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497754386 | NPI | - | NPPES |
2272713 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367H00000X | Anesthesiologist Assistant | 67000067 (Ohio) | Primary |
Entity Name | University Of Cincinnati Physicians Company Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801840434 PECOS PAC ID: 2264344480 Enrollment ID: O20031105000123 |
Mailing Address | Practice Location Address |
---|---|
Carol A Gillis, AA 2830 Victory Pkwy, Cincinnati, OH 45206-1785 Ph: (513) 475-8922 | Carol A Gillis, AA 234 Goodman St, Cincinnati, OH 45219-2364 Ph: (513) 475-8282 |
Maggie Scheler, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 2139 Auburn Ave, Cincinnati, OH 45219 Phone: 513-585-2422 | |
Mr. Alexander Healy Montavon, AA-C Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 2139 Auburn Ave, Cincinnati, OH 45219 Phone: 513-585-2422 Fax: 513-585-3245 | |
Kathryn Marie Breidenstein, Anesthesiologist Assistant Medicare: Not Enrolled in Medicare Practice Location: 2139 Auburn Ave, Cincinnati, OH 45219 Phone: 513-585-2000 | |
Jeffrey Cole Mumpower, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 2139 Auburn Ave, Cincinnati, OH 45219 Phone: 513-585-2422 Fax: 513-585-3245 | |
Deontay William Walker, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 2139 Auburn Ave, Cincinnati, OH 45219 Phone: 513-585-2000 | |
Christopher Caldwell, RN Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 2139 Auburn Ave, Cincinnati, OH 45219 Phone: 513-672-3309 Fax: 513-672-3323 | |
Robert R Mccann, AA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 2139 Auburn Ave, Cincinnati, OH 45219 Phone: 513-672-3309 Fax: 513-672-3323 |