Phillip Gilmore Jr, in Summit, NJ - Medicare Physical Therapist Provider

Phillip Gilmore Jr, is a medicare enrolled "Physical Therapist" provider in Summit, New Jersey. His current practice location is 469 Morris Ave, Summit, New Jersey. You can reach out to his office (for appointments etc.) via phone at (908) 731-6916.

Phillip Gilmore Jr is licensed to practice in New Jersey (license number 40QA02337800) 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 1134012800.

Contact Information

	Phillip Gilmore Jr,
	469 Morris Ave, Summit, NJ 07901-1583
	(908) 731-6916
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Phillip Gilmore Jr
Gender	Male
Speciality	Physical Therapist
Location	469 Morris Ave, Summit, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134012800
Provider Enumeration Date: 06/02/2025
Last Update Date: 06/02/2025

Medicare PECOS Information:

PECOS PAC ID: 7810408309
Enrollment ID: I20250612002131

Medical Identifiers

Medical identifiers for Phillip Gilmore Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134012800	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	40QA02337800 (New Jersey)	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. Phillip Gilmore Jr allows following entities to bill medicare on his behalf.

Provider Name	Ivyrehab Network Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1174577274 PECOS PAC ID: 3476539776 Enrollment ID: O20040628000865

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. Phillip Gilmore Jr 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
Phillip Gilmore Jr, 469 Morris Ave, Summit, NJ 07901-1583 Ph: () -	Phillip Gilmore Jr, 469 Morris Ave, Summit, NJ 07901-1583 Ph: (908) 731-6916

Reviews and Comments

Physical Therapist in Summit, NJ

Professional Occupational & Physical Therapy, Pllc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 68 River Rd, Summit, NJ 07901 Phone: 908-277-0800 Fax: 908-277-0808
Beverly Pranzatelli, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 33 Overlook Rd, Suite 203, Summit, NJ 07901 Phone: 908-608-0706 Fax: 908-608-0709
Mark A Montuore, M.P.T. Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 47 Maple St, Summit, NJ 07901 Phone: 908-598-9009 Fax: 908-598-9492
Dara K. Avila, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 47 Eggers Ct, Summit, NJ 07901 Phone: 973-310-2919
Brett W Melworm, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 47 Maple St, Ste 108, Summit, NJ 07901 Phone: 908-598-9009 Fax: 908-598-9492
Candace April Marchell, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 41 Springfield Ave, Summit, NJ 07901 Phone: 908-273-0740

Phillip Gilmore Jr, - Medicare Physical Therapist in Summit, NJ