Timothy W Gilliam, PA-C - Medicare Physician Assistant in Watertown, NY

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Timothy W Gilliam, PA-C is a medicare enrolled "Physician Assistant - Medical" in Watertown, New York. He graduated from nursing school in 2022 and has 4 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice North Country Orthopaedic Group Pc and his current practice location is 1571 Washington Street, Suite 201, Watertown, New York. You can reach out to his office (for appointments etc.) via phone at (315) 782-1650.

Timothy W Gilliam is licensed to practice in New York (license number 029490) 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 1265182810.

Contact Information

Timothy W Gilliam, PA-C
1571 Washington Street, Suite 201,
Watertown, NY 13601
(315) 782-1650
(315) 788-8547

Map and Direction




Provider's Profile

Full NameTimothy W Gilliam
GenderMale
SpecialityPhysician Assistant
Experience4 Years
Location1571 Washington Street, Watertown, New York
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:
  • Timothy W Gilliam graduated from nursing school in 2022
  NPI Data:
  • NPI Number: 1265182810
  • Provider Enumeration Date: 03/26/2022
  • Last Update Date: 06/23/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7214300276
  • Enrollment ID: I20230222002660

Medical Identifiers

Medical identifiers for Timothy W Gilliam such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265182810NPI-NPPES
07558372MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical 029490 (New York)Primary
390200000XStudent In An Organized Health Care Education/training Program (NU)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Carthage Area Hospital, IncCarthage, NYHospital
River Hospital ClinicsAlexandria bay, NYHospital
Samaritan Medical CenterWatertown, NYHospital
Clifton-fine HospitalStar lake, NYHospital
Carthage Area Hospital, IncOgdensburg, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
North Country Orthopaedic Group Pc842604338118

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. Timothy W Gilliam allows following entities to bill medicare on his behalf.
Entity NameClaxton-hepburn Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891753034
PECOS PAC ID: 8426966508
Enrollment ID: O20031110000552
Entity NameCarthage Area Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053497388
PECOS PAC ID: 9931010485
Enrollment ID: O20040209000856
Entity NameNorth Country Orthopaedic Group PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568445344
PECOS PAC ID: 8426043381
Enrollment ID: O20040419001437
Entity NameClaxton Medical PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114164944
PECOS PAC ID: 0244389153
Enrollment ID: O20090526000410
Entity NamePulaski Medical Urgent Care PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568829356
PECOS PAC ID: 1951608579
Enrollment ID: O20160328000380

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. Timothy W 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
Timothy W Gilliam, PA-C
1571 Washington Street, Suite 201,
Watertown, NY 13601

Ph: (315) 782-1650		Timothy W Gilliam, PA-C
1571 Washington Street, Suite 201,
Watertown, NY 13601

Ph: (315) 782-1650

Reviews and Comments


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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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.