Benjamin D Galloso, LCSW, CAP, AHCT is a medicare enrolled "Social Worker - Clinical" provider in Fort Lauderdale, Florida. His current practice location is
2900 W Prospect Rd, Fort Lauderdale, Florida. You can reach out to his office (for appointments etc.) via phone at
(954) 770-2363.
Benjamin D Galloso is licensed to practice in Florida (license number SW8346) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1568718682.
Healthcare Provider's Profile
| Full Name | Benjamin D Galloso |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 2900 W Prospect Rd, Fort Lauderdale, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1568718682
- Provider Enumeration Date: 07/26/2012
- Last Update Date: 06/02/2014
Medicare PECOS Information:
- PECOS PAC ID: 5496157943
- Enrollment ID: I20210707001524
Medical Identifiers
Medical identifiers for Benjamin D Galloso such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1568718682 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CAP4290 (Florida) | Secondary |
| 1041C0700X | Social Worker - Clinical | SW8346 (Florida) | Primary |
| 101YM0800X | Counselor - Mental Health | SW8346 (Florida) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Benjamin D Galloso allows following entities to bill medicare on his behalf.
| Entity Name | Grow Healthcare Group Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245845932
PECOS PAC ID: 3476961368
Enrollment ID: O20210414000053 |
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| Entity Name | A&t Therapy Center, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1982206207
PECOS PAC ID: 3870998404
Enrollment ID: O20220303001531 |
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| Entity Name | Rsl Counseling Of South Florida Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1356002513
PECOS PAC ID: 5799172326
Enrollment ID: O20220428000883 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Benjamin D Galloso is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Benjamin D Galloso, LCSW, CAP, AHCT
733 N.w. 30th Court, Apt 7,
Wilton Manors, FL 33311-1798
Ph: (786) 216-9868 | Benjamin D Galloso, LCSW, CAP, AHCT
2900 W Prospect Rd,
Fort Lauderdale, FL 33309-2519
Ph: (954) 770-2363 |
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