Lisa Sara Wilks-gallo, MD in Stony Brook, NY - Medicare Pediatric Medicine

Lisa Sara Wilks-gallo, MD is a medicare enrolled "Pediatrics" physician in Stony Brook, New York. She went to Albert Einstein College Of Medicine Of Yeshiva University and graduated in 2003 and has 21 years of diverse experience with area of expertise as Pediatric Medicine. She is a member of the group practice Stony Brook Children's Service, University Faculty Practice Corporatio and her current practice location is Stony Brook University Medical Ctr, Dept Of Pediatrics, Hsc 11, Rm 060, Stony Brook, New York. You can reach out to her office (for appointments etc.) via phone at (631) 444-7884.

Lisa Sara Wilks-gallo is licensed to practice in New York (license number 239917) 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 1326113903.

Contact Information

	Lisa Sara Wilks-gallo, MD
	Stony Brook University Medical Ctr, Dept Of Pediatrics, Hsc 11, Rm 060, Stony Brook, NY 11794-0001
	(631) 444-7884
	(631) 444-8968

Map and Direction

Physician's Profile

Full Name	Lisa Sara Wilks-gallo
Gender	Female
Speciality	Pediatric Medicine
Experience	21 Years
Location	Stony Brook University Medical Ctr, Stony Brook, New York
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:

Lisa Sara Wilks-gallo attended and graduated from Albert Einstein College Of Medicine Of Yeshiva University in 2003

NPI Data:

NPI Number: 1326113903
Provider Enumeration Date: 11/21/2006
Last Update Date: 04/28/2022

Medicare PECOS Information:

PECOS PAC ID: 5698809705
Enrollment ID: I20100811000586

Medical Identifiers

Medical identifiers for Lisa Sara Wilks-gallo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1326113903	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	239917 (New York)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Stony Brook Children's Service, University Faculty Practice Corporatio	8921993551	40

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. Lisa Sara Wilks-gallo allows following entities to bill medicare on her behalf.

Entity Name	Stony Brook Children's Service, University Faculty Practice Corporatio
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083660575 PECOS PAC ID: 8921993551 Enrollment ID: O20040220000822

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. Lisa Sara Wilks-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
Lisa Sara Wilks-gallo, MD Po Box 1559, Stony Brook, NY 11790-0989 Ph: (631) 444-0650	Lisa Sara Wilks-gallo, MD Stony Brook University Medical Ctr, Dept Of Pediatrics, Hsc 11, Rm 060, Stony Brook, NY 11794-0001 Ph: (631) 444-7884

Reviews and Comments

Pediatrics Doctors in Stony Brook, NY

Dr. Mireya Garcia, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: University Hospital, L5, Stony Brook, NY 11794 Phone: 631-444-3429
Dr. Jason Halegoua, PHD, MD, MBA Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 207 Hallock Rd Ste 106, Stony Brook, NY 11790 Phone: 631-675-9777 Fax: 631-675-9778
Dr. Christy Anne Beneri, DO Pediatrics Medicare: Accepting Medicare Assignments Practice Location: Hsc Suny Stony Brook, Department Of Pediatrics Hsc T-11, Stony Brook, NY 11794 Phone: 631-444-7992 Fax: 631-444-7292
Brittani Elisse Campelo, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 101 Nicolls Rd Rm 40, Stony Brook, NY 11794 Phone: 631-444-2020 Fax: 631-444-2894
Pianpian Wu, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 101 Nicolls Rd, Stony Brook, NY 11794 Phone: 631-444-5437
Brittani Rose Mannix, NNP-BC Pediatrics Medicare: Medicare Enrolled Practice Location: 101 Nicolls Rd, Stony Brook, NY 11794 Phone: 631-444-2000
Kathleen Doobinin, MD Pediatrics Medicare: Medicare Enrolled Practice Location: Department Of Pediatrics, Hsc T-11-020, Stony Brook, NY 11794 Phone: 631-444-2710

Lisa Sara Wilks-gallo, MD - Medicare Pediatric Medicine in Stony Brook, NY