Mrs Galaxie Gavin, NP is a medicare enrolled "Nurse Practitioner - Family" physician in South Holland, Illinois. Her current practice location is
100 W 162nd St, South Holland, Illinois. You can reach out to her office (for appointments etc.) via phone at
(708) 730-2200.
Mrs Galaxie Gavin is licensed to practice in Illinois (license number 277003010) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1720572878.
Physician's Profile
Full Name | Mrs Galaxie Gavin |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 100 W 162nd St, South Holland, Illinois |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mrs Galaxie Gavin attended and graduated from in
NPI Data:
- NPI Number: 1720572878
- Provider Enumeration Date: 06/20/2018
- Last Update Date: 10/28/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Mrs Galaxie Gavin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1720572878 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 209017779 (Illinois) | Secondary |
363L00000X | Nurse Practitioner | 209017779 (Illinois) | Secondary |
363LF0000X | Nurse Practitioner - Family | 277003010 (Illinois) | 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. Mrs Galaxie Gavin 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 |
Mrs Galaxie Gavin, NP 29373 Network Pl, Chicago, IL 60673-1293 Ph: () - | Mrs Galaxie Gavin, NP 100 W 162nd St, South Holland, IL 60473-2003 Ph: (708) 730-2200 |
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