Denise Lynn Gallus, PA is a medicare enrolled "Physician Assistant - Medical" physician in Prescott, Arizona. Her current practice location is
1000 Willow Creek Rd Ste E, Prescott, Arizona. You can reach out to her office (for appointments etc.) via phone at
(928) 583-7887.
Denise Lynn Gallus is licensed to practice in Arizona (license number 1900) 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 1720618374.
Physician's Profile
Full Name | Denise Lynn Gallus |
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Gender | Female |
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Speciality | Physician Assistant - Medical |
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Location | 1000 Willow Creek Rd Ste E, Prescott, Arizona |
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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: 1720618374
- Provider Enumeration Date: 01/23/2020
- Last Update Date: 01/23/2020
Medicare PECOS Information:
- PECOS PAC ID: 8729461140
- Enrollment ID: I20220818000609
Medical Identifiers
Medical identifiers for Denise Lynn Gallus such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1720618374 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207VG0400X | Obstetrics & Gynecology - Gynecology | 1900 (Arizona) | Secondary |
363AM0700X | Physician Assistant - Medical | 1900 (Arizona) | 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. Denise Lynn Gallus 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 |
Denise Lynn Gallus, PA 1264 Crown Ridge Dr, Prescott, AZ 86301-6556 Ph: (928) 899-0192 | Denise Lynn Gallus, PA 1000 Willow Creek Rd Ste E, Prescott, AZ 86301-1645 Ph: (928) 583-7887 |
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