Keith Alan Gillis, APRN in Fort Myers, FL - Medicare Nurse Practitioner

Keith Alan Gillis, APRN is a medicare enrolled "Nurse Practitioner - Family" in Fort Myers, Florida. He graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Lee Memorial Health System and his current practice location is 13340 Metro Pkwy Ste 400, Fort Myers, Florida. You can reach out to his office (for appointments etc.) via phone at (239) 343-1105.

Keith Alan Gillis is licensed to practice in Florida (license number APRN9322325) 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 1376904334.

Contact Information

	Keith Alan Gillis, APRN
	13340 Metro Pkwy Ste 400, Fort Myers, FL 33966-4818
	(239) 343-1105
	(239) 343-1106

Map and Direction

Provider's Profile

Full Name	Keith Alan Gillis
Gender	Male
Speciality	Nurse Practitioner
Experience	9 Years
Location	13340 Metro Pkwy Ste 400, Fort Myers, Florida
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:

Keith Alan Gillis graduated from nursing school in 2015

NPI Data:

NPI Number: 1376904334
Provider Enumeration Date: 03/17/2016
Last Update Date: 04/01/2021

Medicare PECOS Information:

PECOS PAC ID: 0244538791
Enrollment ID: I20160415001592

Medical Identifiers

Medical identifiers for Keith Alan Gillis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376904334	NPI	-	NPPES
016983200	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	APRN9322325 (Florida)	Secondary
363LF0000X	Nurse Practitioner - Family	APRN9322325 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Gulf Coast Medical Center Lee Health	Fort myers, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Lee Memorial Health System	8729996608	1073

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. Keith Alan Gillis allows following entities to bill medicare on his behalf.

Entity Name	Lee Memorial Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992873319 PECOS PAC ID: 8729996608 Enrollment ID: O20031118000604

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. Keith Alan Gillis 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
Keith Alan Gillis, APRN Po Box 2147, Fort Myers, FL 33902-2147 Ph: (239) 343-1105	Keith Alan Gillis, APRN 13340 Metro Pkwy Ste 400, Fort Myers, FL 33966-4818 Ph: (239) 343-1105

Reviews and Comments

Nurse Practitioner Nurses in Fort Myers, FL

Dr. Otniel Hernandez, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3677 Central Ave Ste B, Fort Myers, FL 33901 Phone: 239-790-1263 Fax: 239-790-1074
Pamela Lynn Cooper, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12734 Kenwood Ln, Suite 84, Fort Myers, FL 33907 Phone: 866-936-5250
April Stewart Stowers, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13782 Plantation Rd Ste 201, Fort Myers, FL 33912 Phone: 239-343-1100 Fax: 239-343-1101
Carmalee Martin, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9341 Via San Giovani St, Fort Myers, FL 33905 Phone: 249-297-4864
Ivon Gonzalez, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13691 Metro Pkwy Ste 420, Fort Myers, FL 33912 Phone: 239-215-4064 Fax: 239-215-4063
Sarah Elizabeth Long, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9241 Park Royal Dr, Fort Myers, FL 33908 Phone: 239-985-2700
Ms. Susan Ann Sherman, MS, ARNP, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3900 Broadway, Suite B-1, Fort Myers, FL 33901 Phone: 239-939-2808 Fax: 239-939-4794

Keith Alan Gillis, APRN - Medicare Nurse Practitioner in Fort Myers, FL