Gregory P Gazzillo, MD is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Burnsville, Minnesota. He graduated from medical school in 2007 and has 17 years of diverse experience with area of expertise as Physical Medicine And Rehabilitation. He is a member of the group practice Park Nicollet Clinic and his current practice location is
14000 Fairview Dr, Burnsville, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(952) 993-8700.
Gregory P Gazzillo is licensed to practice in Minnesota (license number 51111) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1427219393.
Physician's Profile
| Full Name | Gregory P Gazzillo |
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| Gender | Male |
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| Speciality | Physical Medicine And Rehabilitation |
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| Experience | 17 Years |
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| Location | 14000 Fairview Dr, Burnsville, Minnesota |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Gregory P Gazzillo graduated from medical school in 2007
NPI Data:
- NPI Number: 1427219393
- Provider Enumeration Date: 06/23/2008
- Last Update Date: 04/25/2018
Medicare PECOS Information:
- PECOS PAC ID: 8426116294
- Enrollment ID: I20081022000736
Medical Identifiers
Medical identifiers for Gregory P Gazzillo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1427219393 | NPI | - | NPPES |
| 698506 | Medicaid | AZ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208100000X | Physical Medicine & Rehabilitation | 51111 (Minnesota) | Primary |
| 208100000X | Physical Medicine & Rehabilitation | 42984 (Arizona) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Park Nicollet Clinic | 7911819438 | 1529 |
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. Gregory P Gazzillo allows following entities to bill medicare on his behalf.
| Entity Name | Park Nicollet Clinic |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1780621904
PECOS PAC ID: 7911819438
Enrollment ID: O20031104000046 |
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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. Gregory P Gazzillo 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 |
|---|
Gregory P Gazzillo, MD
14000 Fairview Dr,
Burnsville, MN 55337-5713
Ph: (952) 993-8700 | Gregory P Gazzillo, MD
14000 Fairview Dr,
Burnsville, MN 55337-5713
Ph: (952) 993-8700 |
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