John Gallo, MD in Fort Bragg, CA - Medicare Family Medicine

John Gallo, MD is a medicare enrolled "Family Medicine" physician in Fort Bragg, California. His current practice location is 721 River Dr, Suite A, Fort Bragg, California. You can reach out to his office (for appointments etc.) via phone at (707) 961-4631.

John Gallo is licensed to practice in California (license number C36010) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1225049257.

Contact Information

	John Gallo, MD
	721 River Dr, Suite A, Fort Bragg, CA 95437
	(707) 961-4631
	(707) 964-1192

Map and Direction

Physician's Profile

Full Name	John Gallo
Gender	Male
Speciality	Family Medicine
Location	721 River Dr, Fort Bragg, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1225049257
Provider Enumeration Date: 08/11/2006
Last Update Date: 10/16/2012

Medicare PECOS Information:

PECOS PAC ID: 8123039658
Enrollment ID: I20090827000149

Medical Identifiers

Medical identifiers for John Gallo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225049257	NPI	-	NPPES
00C360100	Other	CA	MEDI-CAL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	C36010 (California)	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. John Gallo allows following entities to bill medicare on his behalf.

Entity Name	Hospitalist Medicine Physicians Of California Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184663965 PECOS PAC ID: 8426062027 Enrollment ID: O20060202000956

Entity Name	Aretaeus Telemedicine Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548490261 PECOS PAC ID: 6002953635 Enrollment ID: O20091029000684

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. John Gallo 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
John Gallo, MD 721 River Dr, Suite A, Fort Bragg, CA 95437 Ph: (707) 961-4631	John Gallo, MD 721 River Dr, Suite A, Fort Bragg, CA 95437 Ph: (707) 961-4631

Reviews and Comments

Family Medicine Doctors in Fort Bragg, CA

James M. Sandys, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 721 River Drive, Suite A, Fort Bragg, CA 95437 Phone: 707-961-4631 Fax: 707-964-1192
Diane I. Harris, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 850 Sequoia Cir, Fort Bragg, CA 95437 Phone: 707-964-0259 Fax: 707-964-0765
Mr. Sanford Jay Brown, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 815b Sequoia Circle, Fort Bragg, CA 95437 Phone: 707-964-9168 Fax: 707-964-7243
John Ernest Cottle Jr., D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 721 River Dr, Suite A, Fort Bragg, CA 95437 Phone: 707-961-4631 Fax: 707-964-1192
Mr. Wade Joseph Gray, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 205 South St, Fort Bragg, CA 95437 Phone: 707-964-1251 Fax: 707-961-2722
Dr. Larry Ira Heiss, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 205 South St, Fort Bragg, CA 95437 Phone: 707-964-1251 Fax: 707-961-2722

John Gallo, MD - Medicare Family Medicine in Fort Bragg, CA