Michelle Lee Gilliland, is a medicare enrolled "Nurse Practitioner - Family" in Tollesboro, Kentucky. Her current practice location is
644 Lions Club Rd, Tollesboro, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(606) 202-1714.
Michelle Lee Gilliland is licensed to practice in Kentucky (license number 3018334) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1780348284.
Provider's Profile
| Full Name | Michelle Lee Gilliland |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 644 Lions Club Rd, Tollesboro, Kentucky |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1780348284
- Provider Enumeration Date: 10/29/2021
- Last Update Date: 07/28/2023
Medicare PECOS Information:
- PECOS PAC ID: 6103134606
- Enrollment ID: I20221018000369
Medical Identifiers
Medical identifiers for Michelle Lee Gilliland such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1780348284 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 3018334 (Kentucky) | Primary |
| 163W00000X | Registered Nurse | 1124221 (Kentucky) | Secondary |
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. Michelle Lee Gilliland allows following entities to bill medicare on her behalf.
| Entity Name | Brock Medical, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1023379815
PECOS PAC ID: 9830354638
Enrollment ID: O20120628000567 |
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| Entity Name | Pain Management Group Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1063831303
PECOS PAC ID: 0143453670
Enrollment ID: O20140507000797 |
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| Entity Name | Fast Pace Kentucky Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1457716706
PECOS PAC ID: 0143525998
Enrollment ID: O20160216002913 |
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| Entity Name | Cg Medical Associates Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1982903951
PECOS PAC ID: 6608052196
Enrollment ID: O20191227001287 |
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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. Michelle Lee Gilliland 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 |
|---|
Michelle Lee Gilliland,
644 Lions Club Rd,
Tollesboro, KY 41189-8704
Ph: (606) 202-1714 | Michelle Lee Gilliland,
644 Lions Club Rd,
Tollesboro, KY 41189-8704
Ph: (606) 202-1714 |
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