| Charles M Gill Jr, MD | |
|
901 Patients First Dr Ste 3400, Washington, MO 63090 | |
| (636) 239-5155 | |
| Not Available |
| Full Name | Charles M Gill Jr |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 42 Years |
| Location | 901 Patients First Dr Ste 3400, Washington, Missouri |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265402879 | NPI | - | NPPES |
| 340013304 | Other | TN | RR MEDICARE |
| 0092790 | Other | TN | BLUE CROSS |
| 3044902 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | MD19748 (Tennessee) | Secondary |
| 208800000X | Urology | 2018019483 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Hospital Washington | Washington, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Clinic Urology Llc | 5395768253 | 29 |
| Entity Name | Mercy Clinic Urology Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669502274 PECOS PAC ID: 5395768253 Enrollment ID: O20060220000502 |
| Mailing Address | Practice Location Address |
|---|---|
| Charles M Gill Jr, MD 901 Patients First Dr Ste 3400, Washington, MO 63090-4700 Ph: (636) 239-5155 | Charles M Gill Jr, MD 901 Patients First Dr Ste 3400, Washington, MO 63090 Ph: (636) 239-5155 |
Dr. Brian M Benway, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 901 Patients First Dr Ste 3400, Washington, MO 63090 Phone: 636-239-5155 Fax: 636-390-1478 | |
Dr. Charles Upshur Nottingham, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 901 Patients First Dr Ste 3400, Washington, MO 63090 Phone: 636-239-5155 |