Scott R Gillum, PA is a surgical physician assistant in Shreveport, LA with 18 years of experience. Scott R Gillum, PA NPI is 1114003076. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
7925 YOUREE DR
SUITE 200
SHREVEPORT, LA
ZIP 71105-127
Phone: (318) 212-3610
Fax: (318) 212-3672
The NPI 1114003076 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Repair of knee joint (HCPCS:27447)
The enumeration date for this NPI number is 10/31/2006 and was last updated on 7/14/2021.