Laureen Ann Gallo, CRNP MSN - Medicare Nurse Practitioner in Salisbury, MD

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Laureen Ann Gallo, CRNP MSN is a medicare enrolled "Nurse Practitioner" physician in Salisbury, Maryland. She graduated from medical school in 1991 and has 33 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Tidalhealth Specialty Care Llc and her current practice location is 400 Eastern Shore Dr Ste 204, Salisbury, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 912-6716.

Laureen Ann Gallo is licensed to practice in Maryland (license number AC000295) 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 1740251305.

Contact Information

Laureen Ann Gallo, CRNP MSN
400 Eastern Shore Dr Ste 204,
Salisbury, MD 21804-5513
(410) 912-6716
Not Available

Map and Direction




Physician's Profile

Full NameLaureen Ann Gallo
GenderFemale
SpecialityNurse Practitioner
Experience33 Years
Location400 Eastern Shore Dr Ste 204, Salisbury, Maryland
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Laureen Ann Gallo graduated from medical school in 1991
  NPI Data:
  • NPI Number: 1740251305
  • Provider Enumeration Date: 01/31/2006
  • Last Update Date: 04/08/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 0547234981
  • Enrollment ID: I20110218000609

Medical Identifiers

Medical identifiers for Laureen Ann Gallo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1740251305NPI-NPPES
146021800MedicaidMD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 0001194155 (Virginia)Secondary
363L00000XNurse Practitioner AC000295 (Maryland)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Peninsula Regional Medical CenterSalisbury, MDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Tidalhealth Specialty Care Llc7113340845192

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. Laureen Ann Gallo allows following entities to bill medicare on her behalf.
Entity NameTidalhealth Peninsula Regional, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184832040
PECOS PAC ID: 3072509702
Enrollment ID: O20040420001571
Entity NameTidalhealth Primary Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104453208
PECOS PAC ID: 7911320635
Enrollment ID: O20200714000016
Entity NameTidalhealth Specialty Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619504735
PECOS PAC ID: 7113340845
Enrollment ID: O20200714000286

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. Laureen Ann 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 AddressPractice Location Address
Laureen Ann Gallo, CRNP MSN
400 Eastern Shore Dr Ste 204,
Salisbury, MD 21804-5513

Ph: (410) 912-6716		Laureen Ann Gallo, CRNP MSN
400 Eastern Shore Dr Ste 204,
Salisbury, MD 21804-5513

Ph: (410) 912-6716

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.