Mr Jeremy R Gall, ATC - Specialist/Technologist in Fort Wayne, IN

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Mr Jeremy R Gall, ATC is a Specialist/technologist - Athletic Trainer physician based in Fort Wayne, Indiana. Mr Jeremy R Gall is licensed to practice in Indiana (license number 36001023A) and his current practice location is 7601 W Jefferson Blvd, Fort Wayne, Indiana. He can be reached at his office (for appointments etc.) via phone at (260) 435-2620.

NPI number for Mr Jeremy R Gall is 1063409332 and his current mailing address is 229 Barouche Pl, Fort Wayne, Indiana. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1063409332.

Contact Information

Mr Jeremy R Gall, ATC
7601 W Jefferson Blvd,
Fort Wayne, IN 46804-4133
(260) 435-2620
Not Available

Map and Direction




Physician's Profile

Full NameMr Jeremy R Gall
GenderMale
SpecialitySpecialist/technologist - Athletic Trainer
Location7601 W Jefferson Blvd, Fort Wayne, Indiana
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1063409332
  • Provider Enumeration Date: 10/03/2005
  • Last Update Date: 06/16/2018

Medical Identifiers

Medical identifiers for Mr Jeremy R Gall such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063409332NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2081S0010XPhysical Medicine & Rehabilitation - Sports Medicine 36001023A (Indiana)Secondary
2255A2300XSpecialist/technologist - Athletic Trainer 36001023A (Indiana)Primary

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. Mr Jeremy R Gall is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Jeremy R Gall, ATC
229 Barouche Pl,
Fort Wayne, IN 46845-2110

Ph: (260) 740-1261		Mr Jeremy R Gall, ATC
7601 W Jefferson Blvd,
Fort Wayne, IN 46804-4133

Ph: (260) 435-2620

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).

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