Kelli Gillman, is a medicare enrolled "Nurse Practitioner" in Loxley, Alabama. She graduated from nursing school in 2011 and has 13 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Franklin Primary Health Center, Inc. and her current practice location is
1083 E Relham Dr, Loxley, Alabama. You can reach out to her office (for appointments etc.) via phone at
(251) 964-4011.
Kelli Gillman is licensed to practice in Alabama (license number 1-132253) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1295196251.
Provider's Profile
| Full Name | Kelli Gillman |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 13 Years |
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| Location | 1083 E Relham Dr, Loxley, Alabama |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kelli Gillman graduated from nursing school in 2011
NPI Data:
- NPI Number: 1295196251
- Provider Enumeration Date: 03/17/2016
- Last Update Date: 03/17/2016
Medicare PECOS Information:
- PECOS PAC ID: 3971892332
- Enrollment ID: I20160525001656
Medical Identifiers
Medical identifiers for Kelli Gillman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1295196251 | NPI | - | NPPES |
| 1-132253 | Other | AL | STATE LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363L00000X | Nurse Practitioner | 1-132253 (Alabama) | Primary |
| 363LA2200X | Nurse Practitioner - Adult Health | 1-132253 (Alabama) | Secondary |
| 363LC1500X | Nurse Practitioner - Community Health | 1-132253 (Alabama) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 1-132253 (Alabama) | Secondary |
| 363LP0200X | Nurse Practitioner - Pediatrics | 1-132253 (Alabama) | Secondary |
| 363LP2300X | Nurse Practitioner - Primary Care | 1-132253 (Alabama) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Franklin Primary Health Center, Inc. | 1658356308 | 40 |
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. Kelli Gillman allows following entities to bill medicare on her behalf.
| Entity Name | Franklin Primary Health Center, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1679532303
PECOS PAC ID: 1658356308
Enrollment ID: O20040618000827 |
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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. Kelli Gillman 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 |
|---|
Kelli Gillman,
1303 Dr Martin L King Jr Ave,
Mobile, AL 36603-5341
Ph: (251) 432-4117 | Kelli Gillman,
1083 E Relham Dr,
Loxley, AL 36551-2406
Ph: (251) 964-4011 |
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