Mrs Isabella Andrea Vallenilla Gallardo, MD in Conway, SC

Mrs Isabella Andrea Vallenilla Gallardo, MD is a medicare enrolled "Pediatrics" physician in Conway, South Carolina. Her current practice location is 300 Singleton Ridge Rd, Conway, South Carolina. You can reach out to her office (for appointments etc.) via phone at (843) 347-7111.

Mrs Isabella Andrea Vallenilla Gallardo is licensed to practice in South Carolina (license number 89654) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1235753468.

Contact Information

	Mrs Isabella Andrea Vallenilla Gallardo, MD
	300 Singleton Ridge Rd, Conway, SC 29526-9142
	(843) 347-7111
	Not Available

Map and Direction

Physician's Profile

Full Name	Mrs Isabella Andrea Vallenilla Gallardo
Gender	Female
Speciality	Pediatrics
Location	300 Singleton Ridge Rd, Conway, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1235753468
Provider Enumeration Date: 06/03/2020
Last Update Date: 08/15/2023

Medicare PECOS Information:

PECOS PAC ID: 6800244286
Enrollment ID: I20231122003137

Medical Identifiers

Medical identifiers for Mrs Isabella Andrea Vallenilla Gallardo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235753468	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	89654 (South Carolina)	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. Mrs Isabella Andrea Vallenilla Gallardo allows following entities to bill medicare on her behalf.

Entity Name	Conway Hospital Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134172000 PECOS PAC ID: 7113839606 Enrollment ID: O20031201000111

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. Mrs Isabella Andrea Vallenilla 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
Mrs Isabella Andrea Vallenilla Gallardo, MD 300 Singleton Ridge Rd, Attention Patient Accounting, Conway, SC 29526-9142 Ph: (843) 234-6946	Mrs Isabella Andrea Vallenilla Gallardo, MD 300 Singleton Ridge Rd, Conway, SC 29526-9142 Ph: (843) 347-7111

Reviews and Comments

Pediatrics Doctors in Conway, SC

Danika Lauren Alexander Borden, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Singleton Ridge Rd Ofc, Conway, SC 29526 Phone: 843-347-7111
Ashwin Attiguppam Mallikarjun, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1608 Main St, Conway, SC 29526 Phone: 843-248-4700 Fax: 843-248-3145
Dr. Stephen Alexander Corontzes, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 600 Singleton Ridge Rd, Conway, SC 29526 Phone: 843-347-9099 Fax: 843-347-9029
Dr. Lina Abdelmajid Hajar, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 243 Singleton Ridge Rd, Conway, SC 29526 Phone: 843-248-4700
Eugenia Gainzeo Cooper-merchant, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 100 Professional Park Dr, Conway, SC 29526 Phone: 843-234-0005
Krystin Monet Jack, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 300 Singleton Ridge Rd, Conway, SC 29526 Phone: 843-234-5139

Mrs Isabella Andrea Vallenilla Gallardo, MD - Medicare Pediatrics in Conway, SC