Ms Patricia Gillan, NP, MS, CS is a medicare enrolled "Clinical Nurse Specialist - Psychiatric/mental Health, Adult" in Mattapan, Massachusetts. Her current practice location is
1135 Morton St, Mattapan, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(617) 533-2400.
Ms Patricia Gillan is licensed to practice in Massachusetts (license number 166491) 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 1457428161.
Provider's Profile
| Full Name | Ms Patricia Gillan |
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| Gender | Female |
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| Speciality | Clinical Nurse Specialist - Psychiatric/mental Health, Adult |
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| Location | 1135 Morton St, Mattapan, Massachusetts |
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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: 1457428161
- Provider Enumeration Date: 11/29/2006
- Last Update Date: 09/03/2021
Medicare PECOS Information:
- PECOS PAC ID: 8729484241
- Enrollment ID: I20210909000841
Medical Identifiers
Medical identifiers for Ms Patricia Gillan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1457428161 | NPI | - | NPPES |
| 1892819 | Medicaid | MA | |
| PN0539 | Other | MA | BLUE CROSS BLUE SHIELD |
| 166491 | Other | MA | TUFTS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 364SP0807X | Clinical Nurse Specialist - Psychiatric/mental Health, Child & Adolescent | 166491 (Massachusetts) | Secondary |
| 364SP0808X | Clinical Nurse Specialist - Psychiatric/mental Health | 166491 (Massachusetts) | Secondary |
| 364SP0809X | Clinical Nurse Specialist - Psychiatric/mental Health, Adult | 166491 (Massachusetts) | 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 Patricia Gillan allows following entities to bill medicare on her behalf.
| Entity Name | Harbor Health Services Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1881692366
PECOS PAC ID: 0345146213
Enrollment ID: O20040223000221 |
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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. Ms Patricia Gillan 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 Patricia Gillan, NP, MS, CS
1135 Morton St,
Mattapan, MA 02126-2834
Ph: (617) 533-2300 | Ms Patricia Gillan, NP, MS, CS
1135 Morton St,
Mattapan, MA 02126-2834
Ph: (617) 533-2400 |
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