Fabiola Coromoto Cardozo Gallagher, MD - Medicare Family Medicine in Jefferson, NC

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Fabiola Coromoto Cardozo Gallagher, MD is a medicare enrolled "Family Medicine" physician in Jefferson, North Carolina. Her current practice location is 200 Hospital Ave, Jefferson, North Carolina. You can reach out to her office (for appointments etc.) via phone at (336) 846-0805.

Fabiola Coromoto Cardozo Gallagher is licensed to practice in North Carolina (license number 322278) 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 1578123956.

Contact Information

Fabiola Coromoto Cardozo Gallagher, MD
200 Hospital Ave,
Jefferson, NC 28640-9244
(336) 846-0805
Not Available

Map and Direction




Physician's Profile

Full NameFabiola Coromoto Cardozo Gallagher
GenderFemale
SpecialityFamily Medicine
Location200 Hospital Ave, Jefferson, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1578123956
  • Provider Enumeration Date: 06/18/2019
  • Last Update Date: 08/09/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5698000271
  • Enrollment ID: I20230117002692

Medical Identifiers

Medical identifiers for Fabiola Coromoto Cardozo Gallagher such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578123956NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 66558 (Tennessee)Secondary
207Q00000XFamily Medicine 322278 (North Carolina)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. Fabiola Coromoto Cardozo Gallagher allows following entities to bill medicare on her behalf.
Entity NameMedicos General Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952402885
PECOS PAC ID: 1052362167
Enrollment ID: O20050207000376
Entity NameThe Camellia Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609169713
PECOS PAC ID: 0547439606
Enrollment ID: O20110805000223

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. Fabiola Coromoto Cardozo Gallagher 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 AddressPractice Location Address
Fabiola Coromoto Cardozo Gallagher, MD
730 Jasmine St,
Atlantic Beach, FL 32233-1712

Ph: () -		Fabiola Coromoto Cardozo Gallagher, MD
200 Hospital Ave,
Jefferson, NC 28640-9244

Ph: (336) 846-0805

Reviews and Comments


Family Medicine Doctors in Jefferson, NC

Mr. Philip C Yount, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 151 Medical Park Drive, Jefferson, NC 28640
Phone: 336-246-7161    Fax: 336-246-6183
Dr. Kevin John Kurtz, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 200 Hospital Ave, Suite 7, Jefferson, NC 28640
Phone: 336-846-7238    Fax: 336-846-2117
Mrs. Jayne B Leonard, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 200 Hospital Ave Ste 7, Jefferson, NC 28640
Phone: 336-846-7238    Fax: 336-846-2117
Mr. Gregory S Hershner, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 151 Medical Park Dr, Jefferson, NC 28640
Phone: 336-246-7161    Fax: 336-246-6183
Melinda Donelle Wonsick, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 200 Hospital Ave, Suite 3, Jefferson, NC 28640
Phone: 336-846-7433    Fax: 336-846-7878
Dr. Elizabeth Leigh Bradley, M. D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 200 Hospital Ave, Suite 7, Jefferson, NC 28640
Phone: 336-846-7238    Fax: 336-846-2117

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.