| Luke Alexander Gillis, PA-C | |
|
50 Leroy St, Potsdam, NY 13676-1799 | |
| (315) 265-3300 | |
| Not Available |
| Full Name | Luke Alexander Gillis |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 4 Years |
| Location | 50 Leroy St, Potsdam, New York |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053042077 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 10010-14575 (North Carolina) | Secondary |
| 363AM0700X | Physician Assistant - Medical | (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Unc Rockingham | Eden, NC | Hospital |
| Cone Health | Greensboro, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Nc Emergency Physician Services Pllc | 5890916514 | 14 |
| Moses Cone Physician Services, Inc | 4284782210 | 397 |
| Entity Name | Wake Forest University Health Sciences |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003803032 PECOS PAC ID: 4486564952 Enrollment ID: O20031105000436 |
| Entity Name | Moses Cone Physician Services, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093953127 PECOS PAC ID: 4284782210 Enrollment ID: O20090501000202 |
| Entity Name | NC Emergency Physician Services PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518374800 PECOS PAC ID: 5890916514 Enrollment ID: O20141022001802 |
| Mailing Address | Practice Location Address |
|---|---|
| Luke Alexander Gillis, PA-C 50 Leroy St, Potsdam, NY 13676-1786 Ph: (315) 265-3300 | Luke Alexander Gillis, PA-C 50 Leroy St, Potsdam, NY 13676-1799 Ph: (315) 265-3300 |
Heather Mackinnon, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 50 Leroy St, Potsdam, NY 13676 Phone: 315-265-3300 |
Bernadette Avila, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 49 Lawrence Ave, Potsdam, NY 13676 Phone: 315-261-5550 |
An Tulloch, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 12 Elm St, Potsdam, NY 13676 Phone: 315-261-5420 |
Christina Kashmer, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 50 Leroy St, Potsdam, NY 13676 Phone: 315-265-3300 |
Abrinel Marie Seeger, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 8 Clarkson Ave, Potsdam, NY 13669 Phone: 315-268-6400 |
Matthew Cheevers, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 50 Leroy St, Potsdam, NY 13676 Phone: 315-265-3300 |
Dawn M. White, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 49 Lawrence Ave, Potsdam, NY 13676 Phone: 315-261-5550 Fax: 315-261-5599 |