SCOTT R GILLUM PA
NPI 1114003076
Physician Assistant - Surgical in Shreveport, LA
About Scott R Gillum Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SCOTT R GILLUM PA (NPI 1114003076) is an individual surgical provider in Shreveport, Louisiana, licensed in Louisiana (PA200106) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Willis Knighton Medical Center, and is a graduate of Other (2006).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Scott R Gillum Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Areas of Expertise CMS Part B claims 7
Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Willis Knighton Medical Center
Acute Care Hospitals · Shreveport, LAOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SHREVEPORT, LA 71105
SHREVEPORT, LA 71105
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114003076, enumerated as an "individual" on October 31, 2006.
The provider is located at 7925 YOUREE DR SUITE 200 SHREVEPORT, LA 71105 and the phone number is (318) 212-3610.
Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.
The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to verify.
Scott Gillum is affiliated with: WILLIS KNIGHTON MEDICAL CENTER.
