John Gallagher, is a
Social Worker based in South Bend, Indiana. John Gallagher is licensed to practice in Indiana (license number 33006220A) and his current practice location is
415 E Madison St, South Bend, Indiana. He can be reached at his office (for appointments etc.) via phone at
(574) 283-1234.
NPI number for John Gallagher is 1265616346 and his current mailing address is Po Box 809, Goshen, Indiana. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1265616346.
Healthcare Provider's Profile
| Full Name | John Gallagher |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker |
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| Location | 415 E Madison St, South Bend, Indiana |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1265616346
- Provider Enumeration Date: 12/24/2007
- Last Update Date: 11/29/2012
Medical Identifiers
Medical identifiers for John Gallagher such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1265616346 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 87001365A (Indiana) | Secondary |
| 104100000X | Social Worker | 33006220A (Indiana) | Primary |
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. John Gallagher is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
John Gallagher,
Po Box 809,
Goshen, IN 46527-0809
Ph: (574) 533-1234 | John Gallagher,
415 E Madison St,
South Bend, IN 46617-2322
Ph: (574) 283-1234 |
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