Karen M Gilson, MD - Medicare Emergency Medicine in Sewanee, TN

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Karen M Gilson, MD is a medicare enrolled "Family Medicine" physician in Sewanee, Tennessee. She went to University Of Tennessee, Hsc, College Of Medicine and graduated in 1988 and has 38 years of diverse experience with area of expertise as Emergency Medicine. She is a member of the group practice David M. Huffman, M.d.,p.c. and her current practice location is 1260 University Ave, Sewanee, Tennessee. You can reach out to her office (for appointments etc.) via phone at (931) 598-4141.

Karen M Gilson is licensed to practice in Georgia (license number 060733) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1104813211.

Contact Information

Karen M Gilson, MD
1260 University Ave,
Sewanee, TN 37375
(931) 598-4141
(931) 598-5198

Map and Direction




Physician's Profile

Full NameKaren M Gilson
GenderFemale
SpecialityEmergency Medicine
Experience38 Years
Location1260 University Ave, Sewanee, Tennessee
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Karen M Gilson attended and graduated from University Of Tennessee, Hsc, College Of Medicine in 1988
  NPI Data:
  • NPI Number: 1104813211
  • Provider Enumeration Date: 10/04/2005
  • Last Update Date: 11/07/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 4688779093
  • Enrollment ID: I20070413000159

Medical Identifiers

Medical identifiers for Karen M Gilson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104813211NPI-NPPES
000211956AMedicaidGA
581410404OtherGATRICARE/HUMANA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 060733 (Georgia)Primary
207Q00000XFamily Medicine 1092225410 (Tennessee)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Southern Tennessee Regional Hlth System WinchesterWinchester, TNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
David M. Huffman, M.d.,p.c.29616728525

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. Karen M Gilson allows following entities to bill medicare on her behalf.
Entity NameAmg-southern Tennessee Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164789467
PECOS PAC ID: 5991765943
Enrollment ID: O20041013001206
Entity NameSoutheastern Emergency Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356379382
PECOS PAC ID: 2466364997
Enrollment ID: O20050125000997
Entity NameEmergency Coverage Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427005008
PECOS PAC ID: 3072412592
Enrollment ID: O20050207000666
Entity NameDavid M. Huffman, M.d.,p.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629255807
PECOS PAC ID: 2961672852
Enrollment ID: O20110901000453
Entity NameEmergency Staffing Solutions Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477590974
PECOS PAC ID: 9830001650
Enrollment ID: O20120127000382

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. Karen M Gilson 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
Karen M Gilson, MD
3850 Sycamore Dr Nw,
Cleveland, TN 37312-3955

Ph: (423) 284-4449		Karen M Gilson, MD
1260 University Ave,
Sewanee, TN 37375

Ph: (931) 598-4141

Reviews and Comments


Family Medicine Doctors in Sewanee, TN

Louis E Koella, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1314 University Ave, Sewanee, TN 37375
Phone: 931-598-5648    Fax: 931-598-9984
Matthew J Petrilla, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1314 University Ave, Sewanee, TN 37375
Phone: 931-598-5648    Fax: 931-598-0778

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.