Ms Susan Ann Gallenz, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Virginia Beach, Virginia. Her current practice location is
Bldg 404 B St., Camp Pendleton Virginia State Military Reservation, Virginia Beach, Virginia. You can reach out to her office (for appointments etc.) via phone at
(757) 961-6580.
Ms Susan Ann Gallenz is licensed to practice in Virginia (license number 0904006757) 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 1427314814.
Healthcare Provider's Profile
| Full Name | Ms Susan Ann Gallenz |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | Bldg 404 B St., Virginia Beach, Virginia |
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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: 1427314814
- Provider Enumeration Date: 04/10/2012
- Last Update Date: 04/10/2012
Medicare PECOS Information:
- PECOS PAC ID: 7517101793
- Enrollment ID: I20230815002340
Medical Identifiers
Medical identifiers for Ms Susan Ann Gallenz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1427314814 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 0710102081 (Virginia) | Secondary |
| 1041C0700X | Social Worker - Clinical | 0904006757 (Virginia) | 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. Ms Susan Ann Gallenz allows following entities to bill medicare on her 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: O20221213001514 |
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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. Ms Susan Ann Gallenz 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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Ms Susan Ann Gallenz, LCSW
425 Bernice Pl,
Virginia Beach, VA 23452-5301
Ph: (757) 816-6899 | Ms Susan Ann Gallenz, LCSW
Bldg 404 B St., Camp Pendleton Virginia State Military Reservation,
Virginia Beach, VA 23451
Ph: (757) 961-6580 |
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