Ian Bojorquez Gillingham, MD in Lakewood, WA

Ian Bojorquez Gillingham, MD is a medicare enrolled "Family Medicine" physician in Lakewood, Washington. His current practice location is 10510 Gravelly Lake Dr Sw, Lakewood, Washington. You can reach out to his office (for appointments etc.) via phone at (253) 589-7030.

Ian Bojorquez Gillingham is licensed to practice in Washington (license number MD61144821) 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 1427555093.

Contact Information

	Ian Bojorquez Gillingham, MD
	10510 Gravelly Lake Dr Sw, Lakewood, WA 98499-5036
	(253) 589-7030
	Not Available

Map and Direction

Physician's Profile

Full Name	Ian Bojorquez Gillingham
Gender	Male
Speciality	Family Medicine
Location	10510 Gravelly Lake Dr Sw, Lakewood, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1427555093
Provider Enumeration Date: 04/10/2018
Last Update Date: 02/14/2023

Medicare PECOS Information:

PECOS PAC ID: 2365867827
Enrollment ID: I20220927002939

Medical Identifiers

Medical identifiers for Ian Bojorquez Gillingham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1427555093	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	MD61144821 (Washington)	Primary
207Q00000X	Family Medicine	ML60979765 (Washington)	Secondary

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. Ian Bojorquez Gillingham allows following entities to bill medicare on his behalf.

Entity Name	Community Health Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790762755 PECOS PAC ID: 1850201559 Enrollment ID: O20040213000045

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. Ian Bojorquez Gillingham 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
Ian Bojorquez Gillingham, MD 10510 Gravelly Lake Dr Sw, Lakewood, WA 98499-5036 Ph: (253) 589-7030	Ian Bojorquez Gillingham, MD 10510 Gravelly Lake Dr Sw, Lakewood, WA 98499-5036 Ph: (253) 589-7030

Reviews and Comments

Family Medicine Doctors in Lakewood, WA

Kristy A Walton, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5700 100th St Sw Ste 510, Lakewood Clinic, Lakewood, WA 98499 Phone: 253-459-6060 Fax: 253-459-6064
Dr. Yilei Gu, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11307 Bridgeport Way Sw Ste 200, Lakewood, WA 98499 Phone: 253-985-6688 Fax: 253-922-5299
Constance Blair Campbell, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10510 Gravelly Lake Dr Sw, Lakewood, WA 98499 Phone: 253-589-7030 Fax: 253-589-7033
Frida Rineth Pena Benitez, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10510 Gravelly Lake Dr Sw, Lakewood, WA 98499 Phone: 253-589-7030 Fax: 253-589-7033
Micah Atwood, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5700 100th St Sw Ste 510, Lakewood, WA 98499 Phone: 253-792-6526 Fax: 253-459-6065
Dr. Lynn Fioretti, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 10510 Gravelly Lake Drive, Lakewood, WA 98499 Phone: 253-589-7030 Fax: 253-589-7033
Scott Anthony Trapman, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 8511 S Tacoma Way # 200, Lakewood, WA 98499 Phone: 253-588-4015 Fax: 253-588-4035

Ian Bojorquez Gillingham, MD - Medicare Family Medicine in Lakewood, WA