Kevin M Gilmartin, MD - Medicare Pediatrics in Eau Claire, WI

Kevin M Gilmartin, MD is a medicare enrolled "Pediatrics" physician in Eau Claire, Wisconsin. His current practice location is 733 W Clairemont Ave, Eau Claire, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (715) 838-5222.

Kevin M Gilmartin is licensed to practice in Wisconsin (license number 39047) 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 1588643803.

Contact Information

Kevin M Gilmartin, MD
733 W Clairemont Ave,
Eau Claire, WI 54701-6101
(715) 838-5222
Not Available

Map and Direction




Physician's Profile

Full NameKevin M Gilmartin
GenderMale
SpecialityPediatrics
Location733 W Clairemont Ave, Eau Claire, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1588643803
  • Provider Enumeration Date: 01/13/2006
  • Last Update Date: 04/08/2009
  Medicare PECOS Information:
  • PECOS PAC ID: 1951442441
  • Enrollment ID: I20100106000232

Medical Identifiers

Medical identifiers for Kevin M Gilmartin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1588643803NPI-NPPES
3253500MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 39047 (Wisconsin)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. Kevin M Gilmartin allows following entities to bill medicare on his behalf.
Entity NameHo Chunk Nation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407911795
PECOS PAC ID: 5496709867
Enrollment ID: O20050309000066

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. Kevin M Gilmartin 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
Kevin M Gilmartin, MD
Po Box 1510,
Eau Claire, WI 54702-1510

Ph: (715) 838-5222
Kevin M Gilmartin, MD
733 W Clairemont Ave,
Eau Claire, WI 54701-6101

Ph: (715) 838-5222

Reviews and Comments


Pediatrics Doctors in Eau Claire, WI

Camilla Michelle Nelson, MD
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Medicare: Medicare Enrolled
Practice Location: 1400 Bellinger St, Eau Claire, WI 54703
Phone: 715-838-5222    
John J Plewa, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 733 W Clairemont Ave, Eau Claire, WI 54701
Phone: 715-838-5222    
Uday Tiwari, MD
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Medicare: Medicare Enrolled
Practice Location: 1400 Bellinger St, Eau Claire, WI 54703
Phone: 715-838-5222    
Dr. Chetna Mangat, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1400 Bellinger St, Eau Claire, WI 54703
Phone: 715-838-5222    
John P Layde, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 733 W Clairemont Ave, Eau Claire, WI 54701
Phone: 715-838-5222    
David Vandeloo, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 733 W Clairemont Ave, Eau Claire, WI 54701
Phone: 715-838-5222    
Dr. Aamir Ansari, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 733 W Clairemont Ave, Eau Claire, WI 54701
Phone: 715-838-5222    

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).

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