Claudine Gillison, - Medicare Pediatrics in Springfield, IL

Claudine Gillison, is a medicare enrolled "Pediatrics" physician in Springfield, Illinois. Her current practice location is 2532 Farragut Dr, Springfield, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 528-7541.

Claudine Gillison is licensed to practice in Pennsylvania (license number MD431115) 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 1013126317.

Contact Information

Claudine Gillison,
2532 Farragut Dr,
Springfield, IL 62704-1433
(217) 528-7541
Not Available

Map and Direction




Physician's Profile

Full NameClaudine Gillison
GenderFemale
SpecialityPediatrics
Location2532 Farragut Dr, Springfield, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1013126317
  • Provider Enumeration Date: 05/22/2007
  • Last Update Date: 05/22/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 5496834277
  • Enrollment ID: I20160518001336

Medical Identifiers

Medical identifiers for Claudine Gillison such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013126317NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics MD431115 (Pennsylvania)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. Claudine Gillison allows following entities to bill medicare on her behalf.
Entity NameSpringfield Clinic Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780638478
PECOS PAC ID: 0547166076
Enrollment ID: O20040331000826

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. Claudine Gillison 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
Claudine Gillison,
1025 S 6th St,
Springfield, IL 62703-2403

Ph: (217) 528-7541
Claudine Gillison,
2532 Farragut Dr,
Springfield, IL 62704-1433

Ph: (217) 528-7541

Reviews and Comments


Pediatrics Doctors in Springfield, IL

Stephanie E. Wojtowicz, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 2532 Farragut Dr, Springfield, IL 62704
Phone: 217-787-9424    
Gopinathan Gangadharan Nambiar,
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2901 Old Jacksonville Rd, Springfield, IL 62704
Phone: 217-698-9722    Fax: 217-391-0392
Dr. Susan M. Soler, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 2532 Farragut Dr, Springfield, IL 62704
Phone: 217-787-9424    
Dr. Kimberly Nichole Powell, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 415 N 9th St, Suite 4w16, Springfield, IL 62702
Phone: 217-545-8000    Fax: 217-757-6654
Misty M. Phillips, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2532 Farragut Dr, Springfield, IL 62704
Phone: 217-528-7541    
Tracy P Milbrandt, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 301 N 8th St, Springfield, IL 62701
Phone: 217-545-4238    Fax: 217-545-2303

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.