Dr Susan Elizabeth Gillis, MD in La Mesa, CA

Dr Susan Elizabeth Gillis, MD is a medicare enrolled "Pediatrics" physician in La Mesa, California. Her current practice location is 6942 University Ave Ste A, La Mesa, California. You can reach out to her office (for appointments etc.) via phone at (619) 698-2184.

Dr Susan Elizabeth Gillis is licensed to practice in Virginia (license number 0101264528) 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 1215315858.

Contact Information

	Dr Susan Elizabeth Gillis, MD
	6942 University Ave Ste A, La Mesa, CA 91942-5963
	(619) 698-2184
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Susan Elizabeth Gillis
Gender	Female
Speciality	Pediatrics
Location	6942 University Ave Ste A, La Mesa, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215315858
Provider Enumeration Date: 05/15/2015
Last Update Date: 05/20/2022

Medicare PECOS Information:

PECOS PAC ID: 5799085296
Enrollment ID: I20180820000103

Medical Identifiers

Medical identifiers for Dr Susan Elizabeth Gillis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215315858	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	A172110 (California)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
208000000X	Pediatrics	0101264528 (Virginia)	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 Susan Elizabeth Gillis allows following entities to bill medicare on her behalf.

Entity Name	Childrens Specialty Group Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255354130 PECOS PAC ID: 5890788764 Enrollment ID: O20040406001195

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 Susan Elizabeth 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
Dr Susan Elizabeth Gillis, MD 3200 Paseo Village Way Apt 1321, San Diego, CA 92130-3232 Ph: (260) 241-5700	Dr Susan Elizabeth Gillis, MD 6942 University Ave Ste A, La Mesa, CA 91942-5963 Ph: (619) 698-2184

Reviews and Comments

Pediatrics Doctors in La Mesa, CA

Lisa Lew Gabhart, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5525 Grossmont Center Dr, La Mesa, CA 91942 Phone: 858-499-2600
Li-wen Jen, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5525 Grossmont Center Dr, La Mesa, CA 91942 Phone: 858-499-2600
John M. Goldenring, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 5525 Grossmont Center Dr, La Mesa, CA 91942 Phone: 858-499-2600
Sara Susanne Rourke, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 5525 Grossmont Center Dr, La Mesa, CA 91942 Phone: 858-499-2701
Kristen Leanne Empie, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8881 Fletcher Pkwy Ste 200, La Mesa, CA 91942 Phone: 619-464-6434 Fax: 619-464-5109
Paul Michael Imus, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 8881 Fletcher Pkwy Ste 200, La Mesa, CA 91942 Phone: 619-464-6434 Fax: 619-464-5109
Dr. Eric John Meyer Reed, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5525 Grossmont Center Dr, La Mesa, CA 91942 Phone: 858-499-2701

Dr Susan Elizabeth Gillis, MD - Medicare Pediatrics in La Mesa, CA