Ernest F Gillan, MD – Family Medicine Physician

Key facts

NPI: 1730103029
Entity type: Individual (NPI type 1)
Primary specialty: Family Medicine Physician 207Q00000X
License: 033802E (PA)
Practice address: 250 W Lancaster Ave
Suite 120
Paoli, PA 19301-1743
Phone: (610) 644-8069
Fax: (610) 644-6736
NPI assigned: Jul 27, 2006
Sex: Male
Sole proprietor: No

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Paoli Family Medicine Family Medicine Physician · Paoli, PA · NPI 1245282235

Medicare reassignment Care Compare group NPD FAMILY MEDICINE · PA
Phoenix Rehabilitation and Health Services, Inc. Chiropractor · State College, PA · NPI 1245588946

Care Compare group
Phoenix Rehabilitation and Health Services, Inc. Physical Therapist · Cranberry Township, PA · NPI 1720084155

Care Compare group

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Main Line Hospitals, Inc. General Acute Care Hospital · Paoli, PA · NPI 1215042114

Care Compare affiliation Hospital
Main Line Hospitals, Inc. Rehabilitation Hospital · Malvern, PA · NPI 1396850368

Care Compare affiliation Inpatient rehabilitation facility
Main Line Hospitals, Inc. General Acute Care Hospital · Bryn Mawr, PA · NPI 1508971441

Care Compare affiliation Hospital
Riddle Memorial Hospital General Acute Care Hospital · Media, PA · NPI 1407856099

Care Compare affiliation Hospital

Owned or controlled facilities with NPI records 6

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Main Line Hospitals, Inc. General Acute Care Hospital · Paoli, PA · NPI 1215042114

CMS ownership CORPORATE DIRECTOR
Main Line Hospitals, Inc. General Acute Care Hospital · Wynnewood, PA · NPI 1245335629

CMS ownership CORPORATE DIRECTOR
Main Line Hospitals, Inc. Rehabilitation Hospital · Malvern, PA · NPI 1396850368

CMS ownership CORPORATE DIRECTOR
Main Line Hospitals, Inc. General Acute Care Hospital · Bryn Mawr, PA · NPI 1508971441

CMS ownership CORPORATE DIRECTOR
Main Line Hospitals, Inc. Psychiatric Hospital Unit · Bryn Mawr, PA · NPI 1851401756

CMS ownership CORPORATE DIRECTOR
Riddle Memorial Hospital General Acute Care Hospital · Media, PA · NPI 1407856099

CMS ownership CORPORATE DIRECTOR

Medicare Care Compare profile

Specialty: Family Practice
Education: Other, 1984
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Telehealth: Offers telehealth services
Group practices: Phoenix Rehabilitation and Health Services Inc (2,775 clinicians)
Paoli Family Medicine (10 clinicians)

Practice addresses (Care Compare)

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

250 W Lancaster Ave
Suite 120
Paoli, PA 19301-1798
Phone (610) 644-8069

Hospital & facility affiliations

Main Line Health Home Care & Hospice - Home Health Home health agency · Radnor, PA · CCN 397012
Paoli Hospital Hospital · Paoli, PA · CCN 390153
Bryn Mawr Hospital Hospital · Bryn Mawr, PA · CCN 390139
Riddle Memorial Hospital Hospital · Media, PA · CCN 390222
Bryn Mawr Rehabilitation Hospital Inpatient rehabilitation facility · Malvern, PA · CCN 393025

Medicare participation

Medicare fee-for-service enrollment: Enrolled in PA
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

All facility ownership & control disclosures 6

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Facility	Type	Role	Since
Paoli Hospital Paoli, PA · CCN 390153	Hospital	Corporate Director	Jul 1, 2018
Riddle Hospital Media, PA · CCN 390222	Hospital	Corporate Director	Jul 1, 2018
Bryn Mawr Hospital Bryn Mawr, PA · CCN 390139	Hospital	Corporate Director	Jul 1, 2018
Bryn Mawr Hospital Psychiatric Unit Bryn Mawr, PA · CCN 39S139	Hospital	Corporate Director	Jul 1, 2018
Lankenau Medical Center Wynnewood, PA · CCN 390195	Hospital	Corporate Director	Jul 1, 2018
Bryn Mawr Rehabilitation Hospital Malvern, PA · CCN 393025	Hospital	Corporate Director	Jul 1, 2018

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20100806000332	PA	Practitioner - Family Practice	6800859091	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Doctor of Medicine

State licenses

License	State	Type	Specialty
033802E	PA	MD	Family Medicine Physician

Practice roles

Organization	Specialty	Status	New patients
Paoli Family Medicine	Family Medicine	Current since Nov 9, 2004	Accepting new patients

Locations

250 W Lancaster Ave
Ste 120V
Paoli, PA 19301

250 W Lancaster Ave
Ste 120
Paoli, PA 19301
Phone (610) 644-8069

250 W Lancaster Ave
Paoli, PA 19301
Phone (610) 296-8833

Interoperability endpoints

Direct secure messaging: ernest.gillan@pfmp.eclinicaldirectplus.com
FHIR API: https://fhir4.healow.com/fhir/r4/AFEDBA

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Family Medicine Physician	207Q00000X	033802E	PA	Yes

Addresses

Primary practice location

250 W Lancaster Ave
Suite 120
Paoli, PA 19301-1743

Mailing address

250 W Lancaster Ave
Suite 120
Paoli, PA 19301-1743
Phone (610) 644-8069

Other providers in Paoli, PA

All providers in Paoli, PA · Family Medicine Physician in Pennsylvania

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
Provider of Services files (CMS): certification status, beds and related CCNs.
Order and Referring (CMS).
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.