Dr Andrew M Gaillardetz, MD - Medicare Family Medicine in Shiloh, IL

Dr Andrew M Gaillardetz, MD is a medicare enrolled "Family Medicine" physician in Shiloh, Illinois. His current practice location is 1414 Cross St Ste 210, Shiloh, Illinois. You can reach out to his office (for appointments etc.) via phone at (618) 767-7000.

Dr Andrew M Gaillardetz is licensed to practice in Illinois (license number 036.155817) 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 1548764236.

Contact Information

Dr Andrew M Gaillardetz, MD
1414 Cross St Ste 210,
Shiloh, IL 62269-2941
(618) 767-7000
(618) 624-4865

Map and Direction




Physician's Profile

Full NameDr Andrew M Gaillardetz
GenderMale
SpecialityFamily Medicine
Location1414 Cross St Ste 210, Shiloh, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1548764236
  • Provider Enumeration Date: 03/19/2018
  • Last Update Date: 06/10/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 5799035499
  • Enrollment ID: I20210719002568

Medical Identifiers

Medical identifiers for Dr Andrew M Gaillardetz such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548764236NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208M00000XHospitalist 036155817 (Illinois)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
207Q00000XFamily Medicine 036.155817 (Illinois)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. Dr Andrew M Gaillardetz allows following entities to bill medicare on his behalf.
Entity NameSouthern Illinois Healthcare Foundation, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609813500
PECOS PAC ID: 1456256874
Enrollment ID: O20031126000641
Entity NameFairview Heights Medical Group Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679503668
PECOS PAC ID: 6800784083
Enrollment ID: O20040309000650
Entity NameCep America-illinois Hospitalists, Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841613403
PECOS PAC ID: 3274765904
Enrollment ID: O20140411001788

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. Dr Andrew M Gaillardetz 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
Dr Andrew M Gaillardetz, MD
1414 Cross St Ste 210,
Shiloh, IL 62269-2941

Ph: (186) 767-7000
Dr Andrew M Gaillardetz, MD
1414 Cross St Ste 210,
Shiloh, IL 62269-2941

Ph: (618) 767-7000

Reviews and Comments


Family Medicine Doctors in Shiloh, IL

Robert W Garner, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1414 Cross St Ste 230, Shiloh, IL 62269
Phone: 618-607-1260    
James M Hitchcock, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1414 Cross St Ste 230, Shiloh, IL 62269
Phone: 618-607-1260    
Ms. Lisa Rene Reno, NURSE PRACTITIONER
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1414 Cross St Ste 210, Shiloh, IL 62269
Phone: 618-607-1260    Fax: 618-624-4865
Dr. Blake Conley Rodgers, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1414 Cross St Ste 230, Shiloh, IL 62269
Phone: 618-607-1260    Fax: 618-624-4856
Dr. Lowell Grey Sensintaffar, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1116 Hartman Ln, Shiloh, IL 62221
Phone: 618-641-9011    Fax: 618-641-9017
Dr. Suzanne Depaulo, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1190 Fortune Blvd, Shiloh, IL 62269
Phone: 314-286-6988    
Dr. David L Mitchell, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2310 Country Rd, Shiloh, IL 62221
Phone: 618-277-3197    

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.