Jacqueline Nicole Mariano Gallardo, MD in San Luis Obispo, CA

Jacqueline Nicole Mariano Gallardo, MD is a medicare enrolled "Family Medicine" physician in San Luis Obispo, California. She graduated from medical school in 2017 and has 7 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice The Regents Of The University Of California and her current practice location is 892 Aerovista Pl Ste 210, San Luis Obispo, California. You can reach out to her office (for appointments etc.) via phone at (805) 549-8023.

Jacqueline Nicole Mariano Gallardo is licensed to practice in California (license number A173639) 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 1134611882.

Contact Information

	Jacqueline Nicole Mariano Gallardo, MD
	892 Aerovista Pl Ste 210, San Luis Obispo, CA 93401-8054
	(805) 549-8023
	(805) 549-8252

Map and Direction

Physician's Profile

Full Name	Jacqueline Nicole Mariano Gallardo
Gender	Female
Speciality	Family Practice
Experience	7 Years
Location	892 Aerovista Pl Ste 210, San Luis Obispo, California
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:

Jacqueline Nicole Mariano Gallardo graduated from medical school in 2017

NPI Data:

NPI Number: 1134611882
Provider Enumeration Date: 05/30/2018
Last Update Date: 11/15/2021

Medicare PECOS Information:

PECOS PAC ID: 3678810652
Enrollment ID: I20210730002030

Medical Identifiers

Medical identifiers for Jacqueline Nicole Mariano Gallardo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134611882	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	173639 (California)	Secondary
207Q00000X	Family Medicine	A173639 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Dignity Health Home Health	Santa maria, CA	Home health agency
French Hospital Medical Center	San luis obispo, CA	Hospital
Marian Regional Medical Center	Santa maria, CA	Hospital
Sierra Vista Regional Medical Center	San luis obispo, CA	Hospital
Ronald Reagan Ucla Medical Center	Los angeles, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
The Regents Of The University Of California	1355248584	1170

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. Jacqueline Nicole Mariano Gallardo allows following entities to bill medicare on her behalf.

Entity Name	The Regents Of The University Of California
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235107566 PECOS PAC ID: 1355248584 Enrollment ID: O20031223000439

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. Jacqueline Nicole Mariano Gallardo 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
Jacqueline Nicole Mariano Gallardo, MD 5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631 Ph: (310) 301-8771	Jacqueline Nicole Mariano Gallardo, MD 892 Aerovista Pl Ste 210, San Luis Obispo, CA 93401-8054 Ph: (805) 549-8023

Reviews and Comments

Family Medicine Doctors in San Luis Obispo, CA

Michael Angelo Viggianelli, MD Family Medicine Medicare: Medicare Enrolled Practice Location: Hwy 1 California Mens Colony, San Luis Obispo, CA 93409 Phone: 805-547-7911
George S Kienle, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 1555 Higuera St, San Luis Obispo, CA 93401 Phone: 805-543-4043 Fax: 805-543-4427
Lisa Brazil, C.F.N.P. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 35 Casa St Ste 320, San Luis Obispo, CA 93405 Phone: 805-250-4844 Fax: 057-850-3568
Rodolfo Castillo-ruiz, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1551 Bishop St, 160, San Luis Obispo, CA 93401 Phone: 805-269-1500 Fax: 805-269-1585
Dr. Jonathan Stanley Hamrick, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 47 Santa Rosa St, 47 Santa Rosa, San Luis Obispo, CA 93405 Phone: 805-542-9956 Fax: 805-594-1436
Dr. Richard V Ascoli, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1 Grand Ave, San Luis Obispo, CA 93407 Phone: 805-756-1211 Fax: 805-756-5298

Jacqueline Nicole Mariano Gallardo, MD - Medicare Family Practice in San Luis Obispo, CA