Ms Mary Alyssa Gillis, in Columbus, MS - Medicare Nurse Practitioner

Ms Mary Alyssa Gillis, is a medicare enrolled "Nurse Practitioner - Family" in Columbus, Mississippi. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Dutch Medical Clinics, Inc, Dutch Medical Clinics, Inc and her current practice location is 56 Dutch Ln, Columbus, Mississippi. You can reach out to her office (for appointments etc.) via phone at (662) 329-3808.

Ms Mary Alyssa Gillis is licensed to practice in Mississippi (license number 902060) 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 1285082925.

Contact Information

	Ms Mary Alyssa Gillis,
	56 Dutch Ln, Columbus, MS 39702-5500
	(662) 329-3808
	(662) 329-3873

Map and Direction

Provider's Profile

Full Name	Ms Mary Alyssa Gillis
Gender	Female
Speciality	Nurse Practitioner
Experience	9 Years
Location	56 Dutch Ln, Columbus, Mississippi
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ms Mary Alyssa Gillis graduated from nursing school in 2015

NPI Data:

NPI Number: 1285082925
Provider Enumeration Date: 06/02/2016
Last Update Date: 01/28/2019

Medicare PECOS Information:

PECOS PAC ID: 1850684481
Enrollment ID: I20160720000507

Medical Identifiers

Medical identifiers for Ms Mary Alyssa Gillis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285082925	NPI	-	NPPES
07121209	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	902060 (Mississippi)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Kindred At Home	Columbus, MS	Home health agency
Mississippi Homecare Of Eupora	Eupora, MS	Home health agency
Baptist Memorial Hospital Golden Triangle Inc	Columbus, MS	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Dutch Medical Clinics, Inc	9234376088	18
Dutch Medical Clinics, Inc	9234376088	18

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 Mary Alyssa Gillis allows following entities to bill medicare on her behalf.

Entity Name	University Of Alabama Health Services Foundation, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093768723 PECOS PAC ID: 1951213107 Enrollment ID: O20031105000261

Entity Name	Dutch Medical Clinics, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215276175 PECOS PAC ID: 9234376088 Enrollment ID: O20190220000556

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 Mary Alyssa 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 Mary Alyssa Gillis, 56 Dutch Ln, Columbus, MS 39702-5500 Ph: (662) 329-3808	Ms Mary Alyssa Gillis, 56 Dutch Ln, Columbus, MS 39702-5500 Ph: (662) 329-3808

Reviews and Comments

Nurse Practitioner Nurses in Columbus, MS

Mrs. Celia Lasky Kidder, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2110 5th St N, Columbus, MS 39705 Phone: 662-243-2435 Fax: 662-328-7037
Dr. Janice Davidson, PHD FNP-BC FAANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 514 7th St S, Columbus, MS 39701 Phone: 662-328-6293
Misti Garnett, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 56 Dutch Ln, Columbus, MS 39702 Phone: 662-329-3808 Fax: 662-329-3873
John S Dornan, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 425 Hospital Dr, Suite 4, Columbus, MS 39705 Phone: 662-240-0650 Fax: 662-240-0483
Christopher Pennington, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 114 N Lehmberg Rd, Columbus, MS 39702 Phone: 662-329-2955
Mrs. Janet Myers, AGACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2520 5th St N, Columbus, MS 39705 Phone: 662-244-2042 Fax: 662-244-3287
Lacee Nicole Lowder, MSN, APRN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2520 5th St N, Columbus, MS 39705 Phone: 662-244-1000

Ms Mary Alyssa Gillis, - Medicare Nurse Practitioner in Columbus, MS