William J Gaughan, MD - Medicare in Philadelphia, PA

William J Gaughan, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Philadelphia, Pennsylvania. His current practice location is 5501 Old York Rd, Levy Grd Floor, Philadelphia, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (215) 456-6970.

William J Gaughan is licensed to practice in Pennsylvania (license number MD031609E) 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 1255390035.

Contact Information

William J Gaughan, MD
5501 Old York Rd, Levy Grd Floor,
Philadelphia, PA 19141
(215) 456-6970
(215) 456-7154

Map and Direction




Physician's Profile

Full NameWilliam J Gaughan
GenderMale
Speciality
Experience Years
Location5501 Old York Rd, Philadelphia, Pennsylvania
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • William J Gaughan attended and graduated from in
  NPI Data:
  • NPI Number: 1255390035
  • Provider Enumeration Date: 03/21/2006
  • Last Update Date: 01/06/2011
  Medicare PECOS Information:
  • PECOS PAC ID:
  • Enrollment ID:

Medical Identifiers

Medical identifiers for William J Gaughan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255390035NPI-NPPES
001282520MedicaidPA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RN0300XInternal Medicine - Nephrology MD031609E (Pennsylvania)Primary

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. William J Gaughan 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
William J Gaughan, MD
101 East Olney Avenue, Suite 400,
Philadelphia, PA 19120

Ph: (215) 456-7000
William J Gaughan, MD
5501 Old York Rd, Levy Grd Floor,
Philadelphia, PA 19141

Ph: (215) 456-6970

Reviews and Comments


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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).

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