Dana Marie Gallik, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Beach Lake, Pennsylvania. Her current practice location is
1041 Beach Lake Hwy Ste 2, Beach Lake, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(570) 801-9488.
Dana Marie Gallik is licensed to practice in Pennsylvania (license number SP021359) 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 1548807340.
Provider's Profile
| Full Name | Dana Marie Gallik |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 1041 Beach Lake Hwy Ste 2, Beach Lake, Pennsylvania |
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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: 1548807340
- Provider Enumeration Date: 11/30/2019
- Last Update Date: 09/16/2022
Medicare PECOS Information:
- PECOS PAC ID: 0749610244
- Enrollment ID: I20200424000610
Medical Identifiers
Medical identifiers for Dana Marie Gallik such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1548807340 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163WE0003X | Registered Nurse - Emergency | RN660596 (Pennsylvania) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | SP021359 (Pennsylvania) | 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. Dana Marie Gallik allows following entities to bill medicare on her behalf.
| Entity Name | Destination Vitality Ltd |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1689321382
PECOS PAC ID: 3375916943
Enrollment ID: O20230301001190 |
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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. Dana Marie Gallik 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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Dana Marie Gallik, CRNP
20 My Way Ln,
Beach Lake, PA 18405-3111
Ph: (570) 637-1028 | Dana Marie Gallik, CRNP
1041 Beach Lake Hwy Ste 2,
Beach Lake, PA 18405-3009
Ph: (570) 801-9488 |
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