Elizabeth Ashley Gallaway, APRN is a medicare enrolled "Nurse Practitioner" physician in Stillwater, Oklahoma. Her current practice location is
1323 W 6th Ave, Stillwater, Oklahoma. You can reach out to her office (for appointments etc.) via phone at
(405) 372-1480.
Elizabeth Ashley Gallaway is licensed to practice in Oklahoma (license number 212142) 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 1033814785.
Physician's Profile
| Full Name | Elizabeth Ashley Gallaway |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | 1323 W 6th Ave, Stillwater, Oklahoma |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1033814785
- Provider Enumeration Date: 04/03/2023
- Last Update Date: 01/27/2025
Medicare PECOS Information:
- PECOS PAC ID: 9830550672
- Enrollment ID: I20230726003507
Medical Identifiers
Medical identifiers for Elizabeth Ashley Gallaway such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1033814785 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 212142 (Oklahoma) | Secondary |
| 363L00000X | Nurse Practitioner | R0113948 (Oklahoma) | Secondary |
| 363L00000X | Nurse Practitioner | 212142 (Oklahoma) | Primary |
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. Elizabeth Ashley Gallaway allows following entities to bill medicare on her behalf.
| Entity Name | South Central Emergency Services, Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1558663724
PECOS PAC ID: 8224212949
Enrollment ID: O20110405000201 |
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| Entity Name | Your Health Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1396385431
PECOS PAC ID: 3870922008
Enrollment ID: O20200408004584 |
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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. Elizabeth Ashley Gallaway 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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Elizabeth Ashley Gallaway, APRN
403 E Noble Rd,
Stillwater, OK 74075-1952
Ph: (405) 614-3120 | Elizabeth Ashley Gallaway, APRN
1323 W 6th Ave,
Stillwater, OK 74074-4399
Ph: (405) 372-1480 |
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