Dr Michael Lee Gallentine, MD | |
920 S Hebron Ave, Evansville, IN 47714-4086 | |
(812) 473-1111 | |
Not Available |
Full Name | Dr Michael Lee Gallentine |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 28 Years |
Location | 920 S Hebron Ave, Evansville, Indiana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356311583 | NPI | - | NPPES |
100255040-00 | Medicaid | NE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 20757 (Nebraska) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ascension St Vincent Evansville | Evansville, IN | Hospital |
Daviess Community Hospital | Washington, IN | Hospital |
Deaconess Hospital Inc | Evansville, IN | Hospital |
Memorial Hospital And Health Care Center | Jasper, IN | Hospital |
Methodist Hospital | Henderson, KY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St Marys Medical Group Llc | 1153493341 | 208 |
Entity Name | St Marys Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164852539 PECOS PAC ID: 1153493341 Enrollment ID: O20140313001275 |
Mailing Address | Practice Location Address |
---|---|
Dr Michael Lee Gallentine, MD 920 S Hebron Ave, Evansville, IN 47714-4086 Ph: () - | Dr Michael Lee Gallentine, MD 920 S Hebron Ave, Evansville, IN 47714-4086 Ph: (812) 473-1111 |
Bruce W Romick, MD Urology Medicare: Medicare Enrolled Practice Location: 920 S Hebron Ave, Evansville, IN 47714 Phone: 812-473-1111 Fax: 812-473-0911 | |
William C Collyer, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 421 Chestnut St, Evansville, IN 47713 Phone: 812-426-9855 Fax: 812-858-4536 | |
Barney R Maynard, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 920 S Hebron Ave, Evansville, IN 47714 Phone: 812-473-1111 Fax: 812-473-0911 | |
William C Fisher, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 920 S Hebron Ave, Evansville, IN 47714 Phone: 812-473-1111 Fax: 812-473-0911 | |
Charles Robert Vincent, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 421 Chestnut St, Evansville, IN 47713 Phone: 812-426-9855 Fax: 812-858-4536 | |
Dr. Michael Kottwitz, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 920 S Hebron Ave, Evansville, IN 47714 Phone: 812-473-1111 |