Jala Nicole Gilliam, DPT, PT in Buffalo, NY - Medicare Physical Therapist Provider

Jala Nicole Gilliam, DPT, PT is a medicare enrolled "Physical Therapist" provider in Buffalo, New York. Her current practice location is 2633 Main St, Buffalo, New York. You can reach out to her office (for appointments etc.) via phone at (716) 342-1100.

Jala Nicole Gilliam is licensed to practice in New York (license number 049102) 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 1710606694.

Contact Information

	Jala Nicole Gilliam, DPT, PT
	2633 Main St, Buffalo, NY 14214-2096
	(716) 342-1100
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jala Nicole Gilliam
Gender	Female
Speciality	Physical Therapist
Location	2633 Main St, Buffalo, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710606694
Provider Enumeration Date: 08/24/2022
Last Update Date: 10/01/2022

Medicare PECOS Information:

PECOS PAC ID: 3971971508
Enrollment ID: I20221201001817

Medical Identifiers

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

Identifier	Type	State	Issuer
1710606694	NPI	-	NPPES
049102	Other	NY	NYS LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	049102 (New York)	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. Jala Nicole Gilliam allows following entities to bill medicare on her behalf.

Provider Name	Advance Physical Therapy Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1417093618 PECOS PAC ID: 1355418104 Enrollment ID: O20080922000255

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. Jala Nicole 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
Jala Nicole Gilliam, DPT, PT 2633 Main St, Buffalo, NY 14214-2096 Ph: (716) 342-1100	Jala Nicole Gilliam, DPT, PT 2633 Main St, Buffalo, NY 14214-2096 Ph: (716) 342-1100

Reviews and Comments

Physical Therapist in Buffalo, NY

David May, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 2157 Main St, Buffalo, NY 14214 Phone: 716-862-1170 Fax: 716-862-1569
Toni Caruso, Physical Therapist Medicare: Medicare Enrolled Practice Location: 56 Angela Ln, Buffalo, NY 14225 Phone: 716-880-5707
Mr. Kenneth A Munch, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3495 Bailey Ave, Buffalo, NY 14215 Phone: 716-862-8661
Kimberly Ann Schillace, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2128 Elmwood Ave, Buffalo, NY 14207 Phone: 716-874-4500 Fax: 716-874-3195
Mrs. Joann J Schellati, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 462 Grider St, Buffalo, NY 14215 Phone: 716-898-3224 Fax: 716-898-3259
Patricia Mott, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 925 Delaware Ave Apt 1a, Buffalo, NY 14209 Phone: 716-316-9433
Mr. Wilson I Lebita, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 191 North St Ste 8, Buffalo, NY 14201 Phone: 716-882-6000 Fax: 716-882-6310

Jala Nicole Gilliam, DPT, PT - Medicare Physical Therapist in Buffalo, NY