Ms Kathleen Jan Gillis, RN MSN FNP in Oakland, CA

Ms Kathleen Jan Gillis, RN MSN FNP is a medicare enrolled "Nurse Practitioner - Family" in Oakland, California. Her current practice location is 3100 Telegraph Ave, Suite 2102, Oakland, California. You can reach out to her office (for appointments etc.) via phone at (510) 286-8160.

Ms Kathleen Jan Gillis is licensed to practice in California (license number 7266) 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 1750354882.

Contact Information

	Ms Kathleen Jan Gillis, RN MSN FNP
	3100 Telegraph Ave, Suite 2102, Oakland, CA 94609-3210
	(510) 286-8160
	(510) 286-8158

Map and Direction

Provider's Profile

Full Name	Ms Kathleen Jan Gillis
Gender	Female
Speciality	Nurse Practitioner - Family
Location	3100 Telegraph Ave, Oakland, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750354882
Provider Enumeration Date: 02/09/2006
Last Update Date: 04/23/2021

Medicare PECOS Information:

PECOS PAC ID: 9234541962
Enrollment ID: I20201222000069

Medical Identifiers

Medical identifiers for Ms Kathleen Jan Gillis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750354882	NPI	-	NPPES
GR0028630	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN289570 (California)	Secondary
363LF0000X	Nurse Practitioner - Family	7266 (California)	Primary

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. Ms Kathleen Jan Gillis allows following entities to bill medicare on her behalf.

Entity Name	Dhhs Phs Naihs Shiprock Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780639971 PECOS PAC ID: 0749193837 Enrollment ID: O20031105000809

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. Ms Kathleen Jan 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
Ms Kathleen Jan Gillis, RN MSN FNP 3100 Telegraph Ave, Suite 2102, Oakland, CA 94609-3210 Ph: (510) 286-8160	Ms Kathleen Jan Gillis, RN MSN FNP 3100 Telegraph Ave, Suite 2102, Oakland, CA 94609-3210 Ph: (510) 286-8160

Reviews and Comments

Nurse Practitioner Nurses in Oakland, CA

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Mr. Keith M. Thibault, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 275 W Macarthur, Oakland, CA 94611 Phone: 510-752-1000
Colleen Mccullough, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2950 International Blvd, Oakland, CA 94601 Phone: 510-535-4400

Ms Kathleen Jan Gillis, RN MSN FNP - Medicare Nurse Practitioner in Oakland, CA