Jaclyn P Gilliam, CNM - Medicare Advanced Practice Midwife in Longview, TX

Jaclyn P Gilliam, CNM is a medicare enrolled "Advanced Practice Midwife" in Longview, Texas. Her current practice location is 1761 W Loop 281, Longview, Texas. You can reach out to her office (for appointments etc.) via phone at (903) 758-2610.

Jaclyn P Gilliam is licensed to practice in Texas (license number 547421) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1154483113.

Contact Information

Jaclyn P Gilliam, CNM
1761 W Loop 281,
Longview, TX 75604-2734
(903) 758-2610
(903) 758-7081



Provider's Profile

Full NameJaclyn P Gilliam
GenderFemale
SpecialityAdvanced Practice Midwife
Location1761 W Loop 281, Longview, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1154483113
  • Provider Enumeration Date: 12/15/2006
  • Last Update Date: 09/25/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7911960117
  • Enrollment ID: I20071005000428

Medical Identifiers

Medical identifiers for Jaclyn P Gilliam such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154483113NPI-NPPES
124101006MedicaidTX
124101005MedicaidTX

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367A00000XAdvanced Practice Midwife 547421 (Texas)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. Jaclyn P Gilliam allows following entities to bill medicare on her behalf.
Entity NameLongview Wellness Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942269493
PECOS PAC ID: 1254367766
Enrollment ID: O20050714001046

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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. Jaclyn P 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
Jaclyn P Gilliam, CNM
1107 E Marshall Ave,
Longview, TX 75601-5602

Ph: (903) 675-8261
Jaclyn P Gilliam, CNM
1761 W Loop 281,
Longview, TX 75604-2734

Ph: (903) 758-2610

News Archive

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Advanced Practice Midwife Nurses in Longview, TX

Mary Beth Smith, CNM
Advanced Practice Midwife
Medicare: Medicare Enrolled
Practice Location: 705 E Marshall Ave, Suite 3000, Longview, TX 75601
Phone: 903-315-2700    Fax: 903-236-2575
Gabrielle Misenheimer, CNM
Advanced Practice Midwife
Medicare: Medicare Enrolled
Practice Location: 705 E Marshall Ave Ste 3000, Longview, TX 75601
Phone: 903-758-2610    Fax: 903-758-7081
Kelly Denise Royce,
Advanced Practice Midwife
Medicare: Medicare Enrolled
Practice Location: 323 E Hawkins Pkwy Fl 2, Longview, TX 75605
Phone: 903-315-5733    
Jacqueline Weber, CNM
Advanced Practice Midwife
Medicare: Accepting Medicare Assignments
Practice Location: 705 E Marshall Ave Ste 3000, Longview, TX 75601
Phone: 903-758-2610    Fax: 903-758-7081
Sylyna G Kennedy, RN, CNM
Advanced Practice Midwife
Medicare: Accepting Medicare Assignments
Practice Location: 1107 E Marshall Ave, Longview, TX 75601
Phone: 903-758-2610    Fax: 903-758-7081

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