Jeffrey Gill (NPI# 1972643674, PAC ID# 1951344357) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
Nation Provider ID (NPI) | 1972643674 |
PAC ID by PECOS | 1951344357 |
Professional Enrollment ID | I20050607000439 |
Full Name | Jeffrey Gill |
Address |
301 N Tubb St Oakland FL 34760-8931 |
Gender | M |
Credential | CSW |
Graduation Year | 1985 |
Primary Specialty | CLINICAL SOCIAL WORKER |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
301 N Tubb St, Oakland, FL 34760-8931 |
Street Address |
301 N TUBB ST |
City | OAKLAND |
State | FL |
Zip | 34760-8931 |
City | OAKLAND |
Zip Code | 34760 |
Specialty | CLINICAL SOCIAL WORKER |
City + Specialty | OAKLAND + CLINICAL SOCIAL WORKER |
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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.