Kelvis Gonzalez Gallardo, MD is a medicare enrolled "Family Medicine" physician in Avenal, California. His current practice location is
148 E Kings St, Avenal, California. You can reach out to his office (for appointments etc.) via phone at
(559) 386-9000.
Kelvis Gonzalez Gallardo is licensed to practice in California (license number A157046) 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 1215399639.
Physician's Profile
| Full Name | Kelvis Gonzalez Gallardo |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 148 E Kings St, Avenal, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1215399639
- Provider Enumeration Date: 03/24/2016
- Last Update Date: 04/09/2024
Medicare PECOS Information:
- PECOS PAC ID: 7214274323
- Enrollment ID: I20190128003045
Medical Identifiers
Medical identifiers for Kelvis Gonzalez Gallardo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1215399639 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | A157046 (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. Kelvis Gonzalez Gallardo allows following entities to bill medicare on his behalf.
| Entity Name | Altura Centers For Health |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1023011632
PECOS PAC ID: 9830103449
Enrollment ID: O20090115000094 |
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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. Kelvis Gonzalez 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 |
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Kelvis Gonzalez Gallardo, MD
Po Box 580,
Lemoore, CA 93245-0580
Ph: (559) 386-4500 | Kelvis Gonzalez Gallardo, MD
148 E Kings St,
Avenal, CA 93204-1529
Ph: (559) 386-9000 |
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