Shelly A Gallenberg, PHD is a medicare enrolled "Psychologist" provider in Antigo, Wisconsin. Her current practice location is
1225 Langlade Rd, Antigo, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(715) 627-6694.
Shelly A Gallenberg is licensed to practice in Wisconsin (license number 3111) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1821313859.
Healthcare Provider's Profile
| Full Name | Shelly A Gallenberg |
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| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 1225 Langlade Rd, Antigo, Wisconsin |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Shelly A Gallenberg attended and graduated from in
NPI Data:
- NPI Number: 1821313859
- Provider Enumeration Date: 04/01/2010
- Last Update Date: 02/03/2014
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Shelly A Gallenberg such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1821313859 | NPI | - | NPPES |
| 4293-125 | Other | WI | STATE LICENSE |
| 3111 | Other | WI | STATE LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | 4293-125 (Wisconsin) | Secondary |
| 103T00000X | Psychologist | 3111 (Wisconsin) | 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. Shelly A Gallenberg 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 |
|---|
Shelly A Gallenberg, PHD
1100 Lake View Dr,
Wausau, WI 54403-6785
Ph: (715) 848-4600 | Shelly A Gallenberg, PHD
1225 Langlade Rd,
Antigo, WI 54409-2762
Ph: (715) 627-6694 |
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