Ovsanna Gallo, NP is a medicare enrolled "Nurse Practitioner - Family" physician in Little River, South Carolina. She graduated from medical school in 2020 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Hospital Physician Services - Southeast Professional Corporation, Mcleod Loris Seacoast Hospital and her current practice location is
4000 Highway 9 E, Little River, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(843) 390-8304.
Ovsanna Gallo is licensed to practice in South Carolina (license number 24328) 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 1376141317.
Physician's Profile
| Full Name | Ovsanna Gallo |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner |
|---|
| Experience | 5 Years |
|---|
| Location | 4000 Highway 9 E, Little River, South Carolina |
|---|
| 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:
- Ovsanna Gallo graduated from medical school in 2020
NPI Data:
- NPI Number: 1376141317
- Provider Enumeration Date: 10/13/2020
- Last Update Date: 10/14/2020
Medicare PECOS Information:
- PECOS PAC ID: 8729491956
- Enrollment ID: I20210108000071
Medical Identifiers
Medical identifiers for Ovsanna Gallo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1376141317 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208M00000X | Hospitalist | 24328 (South Carolina) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 24328 (South Carolina) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Hospital Physician Services - Southeast Professional Corporation | 5597774554 | 663 |
| Mcleod Loris Seacoast Hospital | 9133394398 | 108 |
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. Ovsanna Gallo allows following entities to bill medicare on her behalf.
| Entity Name | Hospital Physician Services - Southeast Professional Corporation |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1760410385
PECOS PAC ID: 5597774554
Enrollment ID: O20100107000067 |
|---|
| Entity Name | Mcleod Loris Seacoast Hospital |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1265708119
PECOS PAC ID: 9133394398
Enrollment ID: O20120710000230 |
|---|
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. Ovsanna 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 |
|---|
Ovsanna Gallo, NP
242 Seabert Rd,
Myrtle Beach, SC 29579-3317
Ph: (843) 424-9109 | Ovsanna Gallo, NP
4000 Highway 9 E,
Little River, SC 29566-7833
Ph: (843) 390-8304 |
Reviews and Comments