Thomas F Gilles (NPI# 1164617866, PAC ID# 0840215372) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1164617866 |
PAC ID by PECOS | 0840215372 |
Professional Enrollment ID | I20071004000771 |
Full Name | Thomas F Gilles |
Address |
300 Park St S Fairfax MN 55332-0529 |
Gender | M |
Medical School | UNIVERSITY OF MINNESOTA MEDICAL SCHOOL |
Graduation Year | 1967 |
Primary Specialty | FAMILY MEDICINE |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
241378 | NEW ULM MEDICAL CENTER |
241351 | REDWOOD AREA HOSPITAL |
Address | Phone | Organization |
---|---|---|
300 Park St S, Fairfax, MN 55332-0529 |
Street Address |
300 PARK ST S |
City | FAIRFAX |
State | MN |
Zip | 55332-0529 |
City | FAIRFAX |
Zip Code | 55332 |
Specialty | FAMILY MEDICINE |
City + Specialty | FAIRFAX + FAMILY MEDICINE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.