Zachary Gilliam, CRNP in Huntsville, AL - Medicare Nurse Practitioner

Zachary Gilliam, CRNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Huntsville, Alabama. His current practice location is 101 Sivley Rd Sw, Huntsville, Alabama. You can reach out to his office (for appointments etc.) via phone at (256) 539-4080.

Zachary Gilliam is licensed to practice in Alabama (license number 1-119835) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1053771188.

Contact Information

	Zachary Gilliam, CRNP
	101 Sivley Rd Sw, Huntsville, AL 35801-4421
	(256) 539-4080
	(256) 539-4099

Map and Direction

Provider's Profile

Full Name	Zachary Gilliam
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	101 Sivley Rd Sw, Huntsville, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053771188
Provider Enumeration Date: 03/02/2016
Last Update Date: 01/19/2023

Medicare PECOS Information:

PECOS PAC ID: 8224410212
Enrollment ID: I20220817001023

Medical Identifiers

Medical identifiers for Zachary Gilliam such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053771188	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	1-119835 (Alabama)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	1-119835 (Alabama)	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. Zachary Gilliam allows following entities to bill medicare on his behalf.

Entity Name	Emergency Physicians Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659366649 PECOS PAC ID: 5496669350 Enrollment ID: O20031114000395

Entity Name	The Valley Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952315681 PECOS PAC ID: 0345130118 Enrollment ID: O20040316001181

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. Zachary Gilliam 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
Zachary Gilliam, CRNP 930 Franklin St Se, Huntsville, AL 35801-4312 Ph: (256) 519-8282	Zachary Gilliam, CRNP 101 Sivley Rd Sw, Huntsville, AL 35801-4421 Ph: (256) 539-4080

Reviews and Comments

Nurse Practitioner Nurses in Huntsville, AL

Ms. Lisa Gay Rhodes, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 202 Wynn Drive, Rfcu Clinic, Huntsville, AL 35893 Phone: 256-722-4803 Fax: 256-722-4804
Hailey Farmer, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 401 Lowell Dr Se Ste 1, Huntsville, AL 35801 Phone: 256-265-4462 Fax: 256-265-4463
Elena Mihaela Kruse, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 415 Echurch St, Nw Suite 4, Huntsville, AL 35801 Phone: 256-489-0757
Mrs. Gina Marie Delgado, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Huntsville Hospital Cvicu, 101 Sivley Rd., Huntsville, AL 35801 Phone: 256-265-8641 Fax: 256-265-6722
Michael Larkins, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 201 Sivley Rd Sw Ste 500, Huntsville, AL 35801 Phone: 256-265-3880
Meghan J Dunning, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 101 Sivley Rd Sw, Huntsville, AL 35801 Phone: 256-265-1000
Kayla Hebert, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4011 Meridian St., Huntsville, AL 35811 Phone: 256-372-5601 Fax: 256-934-2635

Zachary Gilliam, CRNP - Medicare Nurse Practitioner in Huntsville, AL