Carlo Gallo Gaanan, MD is a
Family Medicine physician based in Winnebago, Wisconsin. Carlo Gallo Gaanan is licensed to practice in Wisconsin (license number 44853020) and his current practice location is 1505 North Drive, Winnebago, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(920) 426-4310.
NPI number for Carlo Gallo Gaanan is 1427231828 and his current mailing address is Po Box 166, Winnebago, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1427231828.
Physician's Profile
| Full Name | Carlo Gallo Gaanan |
|---|
| Gender | Male |
|---|
| Speciality | Family Medicine |
|---|
| Location | 1505 North Drive, Winnebago, Wisconsin |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1427231828
- Provider Enumeration Date: 12/10/2007
- Last Update Date: 12/10/2007
Medical Identifiers
Medical identifiers for Carlo Gallo Gaanan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1427231828 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 44853020 (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. Carlo Gallo Gaanan 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 |
|---|
Carlo Gallo Gaanan, MD
Po Box 166,
Winnebago, WI 54985
Ph: (920) 426-4310 | Carlo Gallo Gaanan, MD
1505 North Drive,
Winnebago, WI 54985
Ph: (920) 426-4310 |
Reviews and Comments