Sandra Marie Gallagher, PHD is a medicare enrolled "Psychologist - Clinical" provider in Tucson, Arizona. Her current practice location is
7632 N La Cholla Blvd, Tucson, Arizona. You can reach out to her office (for appointments etc.) via phone at
(520) 591-6338.
Sandra Marie Gallagher is licensed to practice in Arizona (license number 3498) 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 1386774511.
Healthcare Provider's Profile
| Full Name | Sandra Marie Gallagher |
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| Gender | Female |
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| Speciality | Psychologist - Clinical |
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| Location | 7632 N La Cholla Blvd, Tucson, Arizona |
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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: 1386774511
- Provider Enumeration Date: 03/06/2007
- Last Update Date: 08/31/2023
Medicare PECOS Information:
- PECOS PAC ID: 4183078694
- Enrollment ID: I20231002001674
Medical Identifiers
Medical identifiers for Sandra Marie Gallagher such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1386774511 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 3498 (Arizona) | Secondary |
| 103T00000X | Psychologist | 3498 (Arizona) | Secondary |
| 103TA0700X | Psychologist - Adult Development & Aging | 3498 (Arizona) | Secondary |
| 103TB0200X | Psychologist - Cognitive & Behavioral | 3498 (Arizona) | Secondary |
| 103TC1900X | Psychologist - Counseling | 3498 (Arizona) | Secondary |
| 103TF0000X | Psychologist - Family | 3498 (Arizona) | Secondary |
| 103TP2701X | Psychologist - Group Psychotherapy | 3498 (Arizona) | Secondary |
| 103TC0700X | Psychologist - Clinical | 3498 (Arizona) | 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. Sandra Marie Gallagher allows following entities to bill medicare on her behalf.
| Entity Name | Sandra M Gallagher Phd Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1356126866
PECOS PAC ID: 3274987789
Enrollment ID: O20231002001622 |
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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. Sandra Marie Gallagher 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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Sandra Marie Gallagher, PHD
7632 N La Cholla Blvd,
Tucson, AZ 85741-4201
Ph: (520) 591-6338 | Sandra Marie Gallagher, PHD
7632 N La Cholla Blvd,
Tucson, AZ 85741-4201
Ph: (520) 591-6338 |
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