James Richard Gaul, MD - Medicare Otolaryngology in Salisbury, MD

James Richard Gaul, MD is a medicare enrolled "Otolaryngology" physician in Salisbury, Maryland. His current practice location is 106 Milford Street, Suite 101, Salisbury, Maryland. You can reach out to his office (for appointments etc.) via phone at (410) 742-1567.

James Richard Gaul is licensed to practice in Maryland (license number D35485) 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 1518056209.

Contact Information

James Richard Gaul, MD
106 Milford Street, Suite 101,
Salisbury, MD 21804
(410) 742-1567
(410) 742-1906

Map and Direction




Physician's Profile

Full NameJames Richard Gaul
GenderMale
SpecialityOtolaryngology
Location106 Milford Street, Salisbury, Maryland
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1518056209
  • Provider Enumeration Date: 10/12/2006
  • Last Update Date: 08/23/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 2466591730
  • Enrollment ID: I20101216001055

Medical Identifiers

Medical identifiers for James Richard Gaul such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1518056209NPI-NPPES
094181600MedicaidMD
282161300OtherMDIND MEDICAID

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Y00000XOtolaryngology D35485 (Maryland)Primary
207YX0602XOtolaryngology - Otolaryngic Allergy D35485 (Maryland)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. James Richard Gaul allows following entities to bill medicare on his behalf.
Entity NameEastern Shore Ent & Allergy
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154308021
PECOS PAC ID: 7012939663
Enrollment ID: O20051222000542

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. James Richard Gaul 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
James Richard Gaul, MD
106 Milford Street, Suite 101,
Salisbury, MD 21804

Ph: (410) 742-1567
James Richard Gaul, MD
106 Milford Street, Suite 101,
Salisbury, MD 21804

Ph: (410) 742-1567

Reviews and Comments


Otolaryngology Doctors in Salisbury, MD

Walter C Schaefer, MD
Otolaryngology
Medicare: Medicare Enrolled
Practice Location: 560 Riverside Dr, Salisbury, MD 21801
Phone: 410-546-4200    Fax: 410-860-9233
Dr. Sidrah Mushtaq Ahmad, MD
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 106 Milford St Ste 101, Salisbury, MD 21804
Phone: 410-742-1567    Fax: 410-742-1906
Laura Mooney King, PA
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 106 Milford Street, Suite 101, Salisbury, MD 21804
Phone: 410-742-1567    Fax: 410-742-1906
Michael John Kelleher, MD
Otolaryngology
Medicare: Medicare Enrolled
Practice Location: 106 Milford Street, Suite 101, Salisbury, MD 21804
Phone: 410-742-1567    Fax: 410-742-1906
Daniel Joseph Kelley, MD
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 106 Milford Street, Suite 101, Salisbury, MD 21804
Phone: 410-742-1567    Fax: 410-742-1906

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.