Daniel J Gilles, PA
Individual provider Active NPI Physician Assistant · Stanley, WI
NPI 1891775599 · NPPES record last updated Jun 3, 2010
Key facts
- NPI
- 1891775599
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 1096 (WI)
- Practice address
- 1120 Pine St
Stanley, WI 54768-1297 - Phone
- (715) 644-5530
- Fax
- (715) 644-6223
- NPI assigned
- Jan 19, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 23
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Aspirus Stanley Hospital and Clinics Inc
Practice addresses (Care Compare)
1120 Pine St
Stanley, WI 54768-1297
Phone (715) 644-5530
Hospital & facility affiliations
- Compassus Home Health
- Aveanna Home Health
- Interim Healthcare of Western Wisconsin
- Aspirus Stanley Hospital
- Aspirus Medford Hospital & Clinics, Inc
- Aspirus Wausau Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100422000134 | WI | Practitioner - Physician Assistant | 1951438084 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1096 | WI | MD | Counseling Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aspirus Stanley Hospital & Clinics, Inc. | Current |
Accepting new patients | |
| Aspirus Stanley Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Aspirus Stanley Hospital & Clinics, Inc. | Current |
Accepting new patients | |
| Aspirus Stanley Hospital & Clinics, Inc | Current |
Accepting new patients | |
| Aspirus Stanley Hospital & Clinics, Inc | Current | Accepting new patients |
Locations
29980 Network Pl
Chicago, IL 60673
6 Johnson St
Owen, WI 54460
Phone (715) 229-2177
1120 Pine St
Stanley, WI 54768
Phone (715) 644-5530
704 S Clark St
Thorp, WI 54771
Phone (715) 669-5536
Interoperability endpoints
- dgilles168917@direct.aspirus.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1096 | WI | Yes |
Addresses
Primary practice location
1120 Pine St
Stanley, WI 54768-1297
Mailing address
1120 Pine St
Stanley, WI 54768-1297
Phone (715) 644-5530
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 42978600 | Medicaid | WI | |
| 11068-0011 | Other | WI | WPS PART B |
Other providers in Stanley, WI
- Steven D. Dahm
- DHC Partnership
- Sara Dingeldein
- Jesse Frey
- Barbara Fritz
- Lindsey Christine Graff
- James W. Gunelson
- Achal Gupta
- Gregory Robert Haas
- Jennifer Ann Haas
All providers in Stanley, WI · Physician Assistant in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 3, 2010. 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.
- 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.