Active NPI
Patricia M Gill, M.D.
- Internal Medicine Physician
- Newberry, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301081347
- Practice address
- 502 W Harrie St
Newberry, MI 49868-1209 - Phone
- (906) 293-9118
- Fax
- (906) 293-9149
- NPI assigned
- Dec 5, 2006
- Last updated
- Jul 9, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301081347 | MI | Primary |
Addresses
Primary practice location
502 W Harrie St
Newberry, MI 49868-1209
Mailing address
502 W Harrie St
Newberry, MI 49868-1209
Phone (906) 293-9118
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4535155 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Helen Newberry Joy Hospital
Practice addresses (Care Compare)
502 W Harrie St
Newberry, MI 49868-1209
Phone (906) 293-9200
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Helen Newberry Joy Hospital & Healthcare Center | Current | Accepting new patients | |
| Helen Newberry Joy Hospital & Healthcare Center | Current | Accepting new patients | |
| Helen Newberry Joy Hospital & Healthcare Center | Current | Accepting new patients | |
| Helen Newberry Joy Hospital & Healthcare Center | Current | Accepting new patients | |
| Helen Newberry Joy Hospital & Healthcare Center | Past | Accepting new patients |
Locations
502 W Harrie St
Newberry, MI 49868
Phone (906) 293-9131
Interoperability endpoints
- pgill128897@mymichiganhealth.midirect.net
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Critical Access Hospital
- Newberry, MI
- NPI 1497742050
-
dba Manistique Lakes Family Clinic
- Rural Health Clinic/Center
- Curtis, MI
- NPI 1972650935
-
dba HNJH - Skilled Care
- Nursing Facility/Intermediate Care Facility
- Newberry, MI
- NPI 1164545323
-
dba Helen Newberry Joy HLTCU Golden Leaves Living CTR
- Critical Access Hospital
- Newberry, MI
- NPI 1174916886
-
dba Paradise Community Health Center
- Rural Health Clinic/Center
- Paradise, MI
- NPI 1811044886
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Newberry, MI
- NPI 1497742050
-
- Home Health Agency
- Manistique, MI
- NPI 1659379097
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1447318977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "502 W HARRIE ST",
"city": "NEWBERRY",
"state": "MI",
"postal_code": "498681209",
"telephone_number": "906-293-9118",
"fax_number": "906-293-9149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "502 W HARRIE ST",
"city": "NEWBERRY",
"state": "MI",
"postal_code": "498681209",
"telephone_number": "906-293-9118",
"fax_number": "906-293-9149"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILL",
"first_name": "PATRICIA",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-05",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301081347",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4535155",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newberry, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.