Mr Frederick Dwayne Gilliam, PA-C - Medicare Physician Assistant in Visalia, CA

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Mr Frederick Dwayne Gilliam, PA-C is a medicare enrolled "Physician Assistant - Surgical" in Visalia, California. He graduated from nursing school in 2015 and has 11 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Galen Inpatient Physicians Pc, California Cancer Associates For Research And Excellence Inc and his current practice location is 820 S Akers St Ste 120, Visalia, California. You can reach out to his office (for appointments etc.) via phone at (559) 625-4118.

Mr Frederick Dwayne Gilliam is licensed to practice in California (license number 52887) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1871963942.

Contact Information

Mr Frederick Dwayne Gilliam, PA-C
820 S Akers St Ste 120,
Visalia, CA 93277-8306
(559) 625-4118
(559) 625-6004

Map and Direction




Provider's Profile

Full NameMr Frederick Dwayne Gilliam
GenderMale
SpecialityPhysician Assistant
Experience11 Years
Location820 S Akers St Ste 120, Visalia, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Frederick Dwayne Gilliam graduated from nursing school in 2015
  NPI Data:
  • NPI Number: 1871963942
  • Provider Enumeration Date: 10/01/2015
  • Last Update Date: 01/06/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 5294034096
  • Enrollment ID: I20160428002367

Medical Identifiers

Medical identifiers for Mr Frederick Dwayne Gilliam such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1871963942NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 52887 (California)Secondary
363AS0400XPhysician Assistant - Surgical 52887 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Clovis Community Medical CenterClovis, CAHospital
Saint Agnes Medical CenterFresno, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Galen Inpatient Physicians Pc36784646331045
California Cancer Associates For Research And Excellence Inc802291893764

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. Mr Frederick Dwayne Gilliam allows following entities to bill medicare on his behalf.
Entity NameCep America - California
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023063542
PECOS PAC ID: 6103739131
Enrollment ID: O20031106000520
Entity NameCalifornia Cancer Associates for Research and Excellence Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083661607
PECOS PAC ID: 8022918937
Enrollment ID: O20040108001068
Entity NameGalen Inpatient Physicians PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689320459
PECOS PAC ID: 3678464633
Enrollment ID: O20040322000680
Entity NameKaweah Delta Health Care District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790795458
PECOS PAC ID: 6608778790
Enrollment ID: O20050408001146
Entity NameSouth Valley Vascular Associates Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508166190
PECOS PAC ID: 5496936346
Enrollment ID: O20110224000746
Entity NameSaint Agnes Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558819482
PECOS PAC ID: 7618946369
Enrollment ID: O20170125002669

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 Frederick Dwayne 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 AddressPractice Location Address
Mr Frederick Dwayne Gilliam, PA-C
820 S Akers St Ste 120,
Visalia, CA 93277-8306

Ph: Not Available		Mr Frederick Dwayne Gilliam, PA-C
820 S Akers St Ste 120,
Visalia, CA 93277-8306

Ph: (559) 625-4118

Reviews and Comments


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Manivanh M Baum, PA-C
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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.

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