Mr John Barton Gillum Jr, PA in Tacoma, WA

Mr John Barton Gillum Jr, PA is a Physician Assistant physician based in Tacoma, Washington. Mr John Barton Gillum Jr is licensed to practice in Texas (license number PA03173) and his current practice location is Madigan Army Medical Ctr, 9040 A Reid St, Tacoma, Washington. He can be reached at his office (for appointments etc.) via phone at (253) 968-1110.

NPI number for Mr John Barton Gillum Jr is 1699752451 and his current mailing address is Madigan Army Medical Ctr, 9040 A Reid St, Tacoma, Washington. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1699752451.

Contact Information

	Mr John Barton Gillum Jr, PA
	Madigan Army Medical Ctr, 9040 A Reid St, Tacoma, WA 98431-0001
	(253) 968-1110
	Not Available

Map and Direction

Physician's Profile

Full Name	Mr John Barton Gillum Jr
Gender	Male
Speciality	Physician Assistant
Location	Madigan Army Medical Ctr, Tacoma, Washington
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1699752451
Provider Enumeration Date: 12/22/2005
Last Update Date: 06/04/2013

Medical Identifiers

Medical identifiers for Mr John Barton Gillum Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699752451	NPI	-	NPPES
200267860A	Medicaid	KS
P00231064	Other	CO	RR MEDICARE RIA
200039360A	Medicaid	OK
119732100	Medicaid	WY
46883355	Medicaid	CO
66478529	Medicaid	NM
305251601	Medicaid	TX

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	1897 (Colorado)	Secondary
363A00000X	Physician Assistant	1897 (Colorado)	Secondary
363A00000X	Physician Assistant	PA03173 (Texas)	Primary

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. Mr John Barton Gillum Jr is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr John Barton Gillum Jr, PA Madigan Army Medical Ctr, 9040 A Reid St, Tacoma, WA 98431-0001 Ph: (253) 968-1110	Mr John Barton Gillum Jr, PA Madigan Army Medical Ctr, 9040 A Reid St, Tacoma, WA 98431-0001 Ph: (253) 968-1110

Mr John Barton Gillum Jr, PA - Physician Assistant in Tacoma, WA