Jaclyn P Gilliam, CNM in Longview, TX - Medicare Advanced Practice Midwife

Jaclyn P Gilliam, CNM is a medicare enrolled "Advanced Practice Midwife" in Longview, Texas. Her current practice location is 1761 W Loop 281, Longview, Texas. You can reach out to her office (for appointments etc.) via phone at (903) 758-2610.

Jaclyn P Gilliam is licensed to practice in Texas (license number AP109416) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1154483113.

Contact Information

	Jaclyn P Gilliam, CNM
	1761 W Loop 281, Longview, TX 75604-2734
	(903) 758-2610
	(903) 758-7081

Map and Direction

Provider's Profile

Full Name	Jaclyn P Gilliam
Gender	Female
Speciality	Advanced Practice Midwife
Location	1761 W Loop 281, Longview, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154483113
Provider Enumeration Date: 12/15/2006
Last Update Date: 08/26/2025

Medicare PECOS Information:

PECOS PAC ID: 7911960117
Enrollment ID: I20071005000428

Medical Identifiers

Medical identifiers for Jaclyn P Gilliam such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154483113	NPI	-	NPPES
124101006	Medicaid	TX
124101005	Medicaid	TX

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367A00000X	Advanced Practice Midwife	AP109416 (Texas)	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. Jaclyn P Gilliam allows following entities to bill medicare on her behalf.

Entity Name	Longview Wellness Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942269493 PECOS PAC ID: 1254367766 Enrollment ID: O20050714001046

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. Jaclyn P Gilliam 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
Jaclyn P Gilliam, CNM 1107 E Marshall Ave, Longview, TX 75601-5602 Ph: (903) 675-8261	Jaclyn P Gilliam, CNM 1761 W Loop 281, Longview, TX 75604-2734 Ph: (903) 758-2610

Reviews and Comments

Advanced Practice Midwife Nurses in Longview, TX

Mary Beth Smith, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 705 E Marshall Ave, Suite 3000, Longview, TX 75601 Phone: 903-315-2700 Fax: 903-236-2575
Gabrielle Misenheimer, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 705 E Marshall Ave Ste 3000, Longview, TX 75601 Phone: 903-758-2610 Fax: 903-758-7081
Kelly Denise Royce, APRN, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1107 E Marshall Ave, Longview, TX 75601 Phone: 903-758-2610 Fax: 903-758-7081
Jacqueline Weber, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 705 E Marshall Ave Ste 3000, Longview, TX 75601 Phone: 903-758-2610 Fax: 903-758-7081
Sylyna G Kennedy, RN, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 705 E Marshall Ave Ste 3000, Longview, TX 75601 Phone: 903-758-2610 Fax: 903-587-7081

Jaclyn P Gilliam, CNM - Medicare Advanced Practice Midwife in Longview, TX