Dr Jackie L Gilliard, MD in Crofton, MD - Pediatrics

Dr Jackie L Gilliard, MD is a Pediatrics physician based in Crofton, Maryland. Dr Jackie L Gilliard is licensed to practice in Maryland (license number D0035935) and his current practice location is 2225 E Defense Highway, Crofton, Maryland. He can be reached at his office (for appointments etc.) via phone at (410) 721-2273.

NPI number for Dr Jackie L Gilliard is 1134139645 and his current mailing address is Po Box 6429, Annapolis, Maryland. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1134139645.

Contact Information

	Dr Jackie L Gilliard, MD
	2225 E Defense Highway, Crofton, MD 21114
	(410) 721-2273
	Not Available

Physician's Profile

Full Name	Dr Jackie L Gilliard
Gender	Male
Speciality	Pediatrics
Location	2225 E Defense Highway, Crofton, Maryland
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1134139645
Provider Enumeration Date: 08/08/2006
Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr Jackie L Gilliard such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134139645	NPI	-	NPPES
208511900	Medicaid	MD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	D0035935 (Maryland)	Primary

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. Dr Jackie L Gilliard is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Jackie L Gilliard, MD Po Box 6429, Annapolis, MD 21401-0429 Ph: () -	Dr Jackie L Gilliard, MD 2225 E Defense Highway, Crofton, MD 21114 Ph: (410) 721-2273

News Archive

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Pediatrics Doctors in Crofton, MD

Dr. Farhad Aliabadi, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2225 Defense Hwy Ste E, Crofton, MD 21114 Phone: 410-721-2273 Fax: 443-332-4265
Dr. Craytonia L. Davis, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2225 E Defense Highway, Crofton, MD 21114 Phone: 410-721-2273

Dr Jackie L Gilliard, MD - Pediatrics in Crofton, MD