Stacey Ana Gallaway, MD is a medicare enrolled "Preventive Medicine - Occupational Medicine" physician in Cayce, South Carolina. Her current practice location is
3799 12th Street Ext, Cayce, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(803) 755-3337.
Stacey Ana Gallaway is licensed to practice in South Carolina (license number 23263) 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 1902021793.
Physician's Profile
| Full Name | Stacey Ana Gallaway |
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| Gender | Female |
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| Speciality | Preventive Medicine - Occupational Medicine |
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| Location | 3799 12th Street Ext, Cayce, South Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1902021793
- Provider Enumeration Date: 04/16/2007
- Last Update Date: 09/30/2020
Medicare PECOS Information:
- PECOS PAC ID: 3870689995
- Enrollment ID: I20241203000093
Medical Identifiers
Medical identifiers for Stacey Ana Gallaway such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1902021793 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2083X0100X | Preventive Medicine - Occupational Medicine | 23263 (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. Stacey Ana Gallaway allows following entities to bill medicare on her behalf.
| Entity Name | Lexington Health Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1710634753
PECOS PAC ID: 2567872070
Enrollment ID: O20201208000922 |
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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. Stacey Ana Gallaway 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 |
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Stacey Ana Gallaway, MD
470 Hulon Ln,
West Columbia, SC 29169-4841
Ph: (803) 755-3337 | Stacey Ana Gallaway, MD
3799 12th Street Ext,
Cayce, SC 29033-3750
Ph: (803) 755-3337 |
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