Mr Earnest Edward Gilliam Jr, APN in Helena, AR - Medicare Nurse Anesthetist, Certified Registered

Mr Earnest Edward Gilliam Jr, APN is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Helena, Arkansas. His current practice location is 1801 Martin Luther King Jr Dr, Helena, Arkansas. You can reach out to his office (for appointments etc.) via phone at (870) 816-3780.

Mr Earnest Edward Gilliam Jr is licensed to practice in Tennessee (license number APN0000009307) 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 1841268737.

Contact Information

	Mr Earnest Edward Gilliam Jr, APN
	1801 Martin Luther King Jr Dr, Helena, AR 72342-8998
	(870) 816-3780
	(901) 261-2542

Map and Direction

Provider's Profile

Full Name	Mr Earnest Edward Gilliam Jr
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	1801 Martin Luther King Jr Dr, Helena, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1841268737
Provider Enumeration Date: 03/08/2006
Last Update Date: 05/18/2015

Medicare PECOS Information:

PECOS PAC ID: 5294627972
Enrollment ID: I20040326001198

Medical Identifiers

Medical identifiers for Mr Earnest Edward Gilliam Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841268737	NPI	-	NPPES
11376597	Other	AR	CAQH
1841268737	Other	AR	BAPTIST HEALTH SERVICES GROUP, INC.
1841268737	Other	AR	ARKANSAS BLUE CROSS BLUE SHIELD
1841268737	Other	AR	CIGNA
1841268737	Other	AR	UNITED HEALTHCARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	APN0000009307 (Tennessee)	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. Mr Earnest Edward Gilliam Jr allows following entities to bill medicare on his behalf.

Entity Name	Gastroenterology Center Of The Midsouth Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417932492 PECOS PAC ID: 4880619824 Enrollment ID: O20060201000753

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. Mr Earnest Edward Gilliam Jr 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
Mr Earnest Edward Gilliam Jr, APN Po Box 771522, Memphis, TN 38177-1522 Ph: (901) 747-4624	Mr Earnest Edward Gilliam Jr, APN 1801 Martin Luther King Jr Dr, Helena, AR 72342-8998 Ph: (870) 816-3780

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Helena, AR

Arthur Houston Burns, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1801 Martin Luther King Jr Dr, Helena, AR 72342 Phone: 870-816-3780 Fax: 870-816-3909
Eric R Wood, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1801 Martin Luther King Jr Dr, Helena, AR 72342 Phone: 870-816-3780 Fax: 901-261-2542
Scott C Gentry, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1801 Martin Luther King Jr Dr, Helena, AR 72342 Phone: 870-338-5800

Mr Earnest Edward Gilliam Jr, APN - Medicare Nurse Anesthetist, Certified Registered in Helena, AR