Dr Jeremy D Gilliam, MD - Medicare Diagnostic Radiology in Fort Wayne, IN

Dr Jeremy D Gilliam, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Fort Wayne, Indiana. He went to Indiana University School Of Medicine and graduated in 2003 and has 21 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Summit Radiology Pc, Henry County Memorial Hospital, Decatur County Memorial Hospital, Summit Radiology Pc, X-ray Physicians Of Shelbyville Pc and his current practice location is 5001 Us Highway 30 W Ste D, Fort Wayne, Indiana. You can reach out to his office (for appointments etc.) via phone at (260) 432-4969.

Dr Jeremy D Gilliam is licensed to practice in Indiana (license number 01064785A) 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 1538284153.

Contact Information

Dr Jeremy D Gilliam, MD
5001 Us Highway 30 W Ste D,
Fort Wayne, IN 46818-9701
(260) 432-4969
(260) 432-4969



Physician's Profile

Full NameDr Jeremy D Gilliam
GenderMale
SpecialityDiagnostic Radiology
Experience21 Years
Location5001 Us Highway 30 W Ste D, Fort Wayne, Indiana
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:
  • Dr Jeremy D Gilliam attended and graduated from Indiana University School Of Medicine in 2003
  NPI Data:
  • NPI Number: 1538284153
  • Provider Enumeration Date: 03/20/2007
  • Last Update Date: 06/20/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 8820169600
  • Enrollment ID: I20080623000222

Medical Identifiers

Medical identifiers for Dr Jeremy D Gilliam such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538284153NPI-NPPES
1538284153MedicaidMI
200939030MedicaidIN
2840742MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology R1044 (Kentucky)Secondary
2085R0202XRadiology - Diagnostic Radiology 35.091145 (Ohio)Secondary
2085R0202XRadiology - Diagnostic Radiology 01064785A (Indiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Lutheran Hospital Of IndianaFort wayne, INHospital
Adams Memorial HospitalDecatur, INHospital
Marion General HospitalMarion, INHospital
Memorial HospitalLogansport, INHospital
The Orthopaedic Hospital Of Lutheran Health NetworFort wayne, INHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Summit Radiology Pc014329541075
Henry County Memorial Hospital6002724085112
Decatur County Memorial Hospital731583767166
Summit Radiology Pc014329541075
X-ray Physicians Of Shelbyville Pc226442021544

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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. Dr Jeremy D Gilliam allows following entities to bill medicare on his behalf.
Entity NameHenry County Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891570537
PECOS PAC ID: 6002724085
Enrollment ID: O20031121000221

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Entity NameDecatur County Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952300477
PECOS PAC ID: 7315837671
Enrollment ID: O20040318001580

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Entity NameSummit Radiology Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073584587
PECOS PAC ID: 0143295410
Enrollment ID: O20040831000152

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Entity NameAdvanced Diagnostic Imaging, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972522126
PECOS PAC ID: 9335117142
Enrollment ID: O20040920000984

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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 Jeremy D 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
Dr Jeremy D Gilliam, MD
Po Box 80070,
Fort Wayne, IN 46898-0070

Ph: (260) 432-1568
Dr Jeremy D Gilliam, MD
5001 Us Highway 30 W Ste D,
Fort Wayne, IN 46818-9701

Ph: (260) 432-4969

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Radiology Doctors in Fort Wayne, IN

Dr. Benjamin Jon Moreno, MD, PHD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 3707 New Vision Dr Ste 110, Fort Wayne, IN 46845
Phone: 260-469-6602    Fax: 260-484-5919
Dr. Andre Byard Stovall, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 5001 Us Highway 30 W Ste D, Fort Wayne, IN 46818
Phone: 260-432-1568    Fax: 260-432-4969
Dr. Christopher Edson Carrel, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 3707 New Vision Dr, Fort Wayne, IN 46845
Phone: 604-696-6022    Fax: 616-363-7290
Dr. Gregg R Mattison, M.D.
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 3707 New Vision Drive, Fort Wayne, IN 46895
Phone: 260-471-9466    Fax: 260-484-5919
Christopher M Wing, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 3707 New Vision Dr, Fort Wayne, IN 46845
Phone: 260-471-9466    Fax: 260-484-5919
Dr. Ahdy Messiha, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 7950 W Jefferson Blvd, Fort Wayne, IN 46804
Phone: 260-432-1568    Fax: 260-432-4969
Vivek K. Sharma, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 5001 Us Highway 30 W Ste D, Fort Wayne, IN 46818
Phone: 260-432-1568    Fax: 260-432-4969

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