Julie E Gallivan, is a medicare enrolled "Counselor - Professional" provider in Grant, Michigan. Her current practice location is
11 N Maple St, Grant, Michigan. You can reach out to her office (for appointments etc.) via phone at
(231) 834-0444.
Julie E Gallivan is licensed to practice in Michigan (license number 6401016694) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1780160283.
Healthcare Provider's Profile
Full Name | Julie E Gallivan |
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Gender | Female |
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Speciality | Counselor - Professional |
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Location | 11 N Maple St, Grant, Michigan |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1780160283
- Provider Enumeration Date: 07/17/2018
- Last Update Date: 05/22/2024
Medicare PECOS Information:
- PECOS PAC ID: 4486005105
- Enrollment ID: I20240108000584
Medical Identifiers
Medical identifiers for Julie E Gallivan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1780160283 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | 6401016694 (Michigan) | Primary |
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. Julie E Gallivan allows following entities to bill medicare on her behalf.
Entity Name | West Michigan Psychological Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1215407044 PECOS PAC ID: 6103238167 Enrollment ID: O20201215003321 |
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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. Julie E Gallivan 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 |
Julie E Gallivan, 194 Brown Rd, Bailey, MI 49303-9782 Ph: (616) 432-7551 | Julie E Gallivan, 11 N Maple St, Grant, MI 49327-7900 Ph: (231) 834-0444 |
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