John Zachary Gallien, MD | |
720 Eskenazi Ave, Indianapolis, IN 46202-5187 | |
(317) 639-6671 | |
(317) 963-5492 |
Full Name | John Zachary Gallien |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 720 Eskenazi Ave, Indianapolis, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235367731 | NPI | - | NPPES |
Q00354531 | Other | IN | RAILROAD PTAN |
264430E75 | Other | IN | MEDICARE PTAN |
300063171 | Medicaid | IN | |
000001667680 | Other | IN | ANTHEM PTAN |
M20064029 | Other | IN | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 4301094548 (Michigan) | Secondary |
207P00000X | Emergency Medicine | 01087817A (Indiana) | Primary |
Entity Name | Medical Center Emergency Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902855711 PECOS PAC ID: 0648182071 Enrollment ID: O20031104000133 |
Entity Name | Aspirus Keweenaw |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205998713 PECOS PAC ID: 8123912011 Enrollment ID: O20040211000763 |
Mailing Address | Practice Location Address |
---|---|
John Zachary Gallien, MD 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () - | John Zachary Gallien, MD 720 Eskenazi Ave, Indianapolis, IN 46202-5187 Ph: (317) 639-6671 |
Dr. Gina Marie Diantonio Swartzel, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1701 N Senate Blvd, B401, Indianapolis, IN 46202 Phone: 317-962-5975 | |
Randall M. Todd, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 8111 S Emerson Ave, Indianapolis, IN 46237 Phone: 317-528-5261 Fax: 317-528-5026 | |
Lee G. Wilbur, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1701 N Senate Blvd, Rm Ag001, Indianapolis, IN 46202 Phone: 317-962-3886 Fax: 317-962-8652 | |
Gregory Bauwens, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2001 W 86th St, Indianapolis, IN 46260 Phone: 317-802-3140 | |
Dr. Jennifer Rae Barker, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 702 Barnhill Dr, Riley Hospital, Indianapolis, IN 46202 Phone: 317-274-4034 | |
Heather Amos, RN Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 720 Eskenazi Ave, Indianapolis, IN 46202 Phone: 317-880-0000 | |
Gerald William Godfrey, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 8111 S Emerson Ave, Indianapolis, IN 46237 Phone: 131-752-8814 |