Dr Blake Galler, DO is a medicare enrolled "Dermatology" physician in Wasilla, Alaska. He went to Texas Tech University Health Science Center School Of Medicine and graduated in 2012 and has 12 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Medical Network Of Alaska Llc and his current practice location is
3066 E Meridian Park Loop, Wasilla, Alaska. You can reach out to his office (for appointments etc.) via phone at
(907) 357-9590.
Dr Blake Galler is licensed to practice in Alaska (license number 115179) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1265705933.
Physician's Profile
| Full Name | Dr Blake Galler |
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| Gender | Male |
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| Speciality | Dermatology |
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| Experience | 12 Years |
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| Location | 3066 E Meridian Park Loop, Wasilla, Alaska |
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| Accepts Medicare Assignments | Yes. He 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:
- Dr Blake Galler attended and graduated from Texas Tech University Health Science Center School Of Medicine in 2012
NPI Data:
- NPI Number: 1265705933
- Provider Enumeration Date: 02/10/2012
- Last Update Date: 07/13/2023
Medicare PECOS Information:
- PECOS PAC ID: 2860762879
- Enrollment ID: I20210820001061
Medical Identifiers
Medical identifiers for Dr Blake Galler such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1265705933 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | 1090 (Nebraska) | Secondary |
| 207N00000X | Dermatology | 115179 (Alaska) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Medical Network Of Alaska Llc | 3072618859 | 66 |
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. Dr Blake Galler allows following entities to bill medicare on his behalf.
| Entity Name | Medical Network Of Alaska Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1538414834
PECOS PAC ID: 3072618859
Enrollment ID: O20070424000329 |
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| Entity Name | Compass Dermatopathology Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1922312248
PECOS PAC ID: 7113112558
Enrollment ID: O20220923001621 |
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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. Dr Blake Galler 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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Dr Blake Galler, DO
3000 Custer Rd., Ste 270 #1592,
Plano, TX 75075-4427
Ph: () - | Dr Blake Galler, DO
3066 E Meridian Park Loop,
Wasilla, AK 99654-7254
Ph: (907) 357-9590 |
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