Mrs Galaxie Gavin, NP is a medicare enrolled "Nurse Practitioner - Family" physician in South Holland, Illinois. She graduated from medical school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Chicago Family Health Center Inc and 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 |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner |
|---|
| Experience | 7 Years |
|---|
| Location | 100 W 162nd St, South Holland, Illinois |
|---|
| 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 graduated from medical school in 2017
NPI Data:
- NPI Number: 1720572878
- Provider Enumeration Date: 06/20/2018
- Last Update Date: 10/28/2024
Medicare PECOS Information:
- PECOS PAC ID: 9638596000
- Enrollment ID: I20200831001404
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 |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Chicago Family Health Center Inc | 6608765417 | 14 |
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. Mrs Galaxie Gavin allows following entities to bill medicare on her behalf.
| Entity Name | Chicago Family Health Center Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1245266337
PECOS PAC ID: 6608765417
Enrollment ID: O20040311000364 |
|---|
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 |
Reviews and Comments