William Charles Gambla, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Birmingham, Alabama. His current practice location is
700 18th St S Ste 601, Birmingham, Alabama. You can reach out to his office (for appointments etc.) via phone at
(205) 996-8660.
William Charles Gambla is licensed to practice in * (Not Available) (license number ) 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 1104489434.
Physician's Profile
| Full Name | William Charles Gambla |
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| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 700 18th St S Ste 601, Birmingham, Alabama |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1104489434
- Provider Enumeration Date: 04/22/2019
- Last Update Date: 06/30/2023
Medicare PECOS Information:
- PECOS PAC ID: 6608109525
- Enrollment ID: I20230822000974
Medical Identifiers
Medical identifiers for William Charles Gambla such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1104489434 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207W00000X | Ophthalmology | MD.46435 (Alabama) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. William Charles Gambla allows following entities to bill medicare on his behalf.
| Entity Name | University Of Alabama Ophthalmology Services Foundation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1265485999 PECOS PAC ID: 9234023417 Enrollment ID: O20040210000034 |
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| Entity Name | Uab Callahan Eye Hospital Authority |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1023358850 PECOS PAC ID: 1557516895 Enrollment ID: O20130312000475 |
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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. William Charles Gambla 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 |
William Charles Gambla, MD 700 18th St S Ste 601, Birmingham, AL 35233-3800 Ph: (205) 996-8660 | William Charles Gambla, MD 700 18th St S Ste 601, Birmingham, AL 35233-3800 Ph: (205) 996-8660 |
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