Dr Carl J Gilbert, MD - Medicare Surgery in Edmond, OK

Dr Carl J Gilbert, MD is a medicare enrolled "Surgery" physician in Edmond, Oklahoma. His current practice location is 4509 Integris Pkwy, Edmond, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (405) 657-3195.

Dr Carl J Gilbert is licensed to practice in Arkansas (license number E4658) 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 1326001785.

Contact Information

Dr Carl J Gilbert, MD
4509 Integris Pkwy,
Edmond, OK 73034-8696
(405) 657-3195
(405) 657-3193

Map and Direction




Physician's Profile

Full NameDr Carl J Gilbert
GenderMale
SpecialitySurgery
Location4509 Integris Pkwy, Edmond, Oklahoma
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1326001785
  • Provider Enumeration Date: 04/07/2006
  • Last Update Date: 04/24/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6800866401
  • Enrollment ID: I20040730000103

Medical Identifiers

Medical identifiers for Dr Carl J Gilbert such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1326001785NPI-NPPES
159057001MedicaidAR
5N462OtherARBLUE CROSS AND BLUE SHIELD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery E4658 (Arkansas)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. Dr Carl J Gilbert allows following entities to bill medicare on his behalf.
Entity NameHealogics Specialty Physicians Of Ohio, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124430491
PECOS PAC ID: 1759607229
Enrollment ID: O20150226002009

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. Dr Carl J Gilbert 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 AddressPractice Location Address
Dr Carl J Gilbert, MD
4509 Integris Pkwy,
Edmond, OK 73034-8696

Ph: () -
Dr Carl J Gilbert, MD
4509 Integris Pkwy,
Edmond, OK 73034-8696

Ph: (405) 657-3195

Reviews and Comments


Surgery Doctors in Edmond, OK

Stephen W Mihalsky, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 105 S Bryant Ave, Suite 407, Edmond, OK 73034
Phone: 405-348-5060    Fax: 405-348-7508
Joshua P Carey, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 4833 Integris Pkwy, Suite 350, Edmond, OK 73034
Phone: 405-657-3690    Fax: 405-552-5143
Dr. Sylvia Susana Gray, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2017 W I 35 Frontage Rd Ste 250, Edmond, OK 73013
Phone: 405-757-3340    Fax: 405-757-3341
Dr. Ernestine Carol Shires, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 3815 S Boulevard, Edmond, OK 73013
Phone: 405-330-7000    
Gregory F Walton, MD
Surgery
Medicare: Medicare Enrolled
Practice Location: 1800 Renaissance Blvd, 2nd Floor, Edmond, OK 73013
Phone: 405-359-2473    
Dr. Toby D Broussard, M.D.
Surgery
Medicare: Medicare Enrolled
Practice Location: 1800 Renaissance Blvd, 2nd Floor, Edmond, OK 73013
Phone: 405-359-2473    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.