Dr Matthew J Gallagher, DC | |
502 Greene Ave, Green Bay, WI 54301-2820 | |
(920) 884-9308 | |
Not Available |
Full Name | Dr Matthew J Gallagher |
---|---|
Gender | Male |
Speciality | Chiropractic |
Experience | 21 Years |
Location | 502 Greene Ave, Green Bay, Wisconsin |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144301078 | NPI | - | NPPES |
38957500 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 4055 (Wisconsin) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Active Chiropractic And Rehabilitation Sc | 5193821866 | 2 |
Provider Name | Active Chiropractic & Rehabilitation Sc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1790820314 PECOS PAC ID: 5193821866 Enrollment ID: O20070426000569 |
Mailing Address | Practice Location Address |
---|---|
Dr Matthew J Gallagher, DC 2317 Woodrow Way, Green Bay, WI 54301-2144 Ph: (920) 884-9308 | Dr Matthew J Gallagher, DC 502 Greene Ave, Green Bay, WI 54301-2820 Ph: (920) 884-9308 |
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