Delores A Gallo, CRNA in Springfield, IL - Medicare Nurse Anesthetist, Certified Registered

Delores A Gallo, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Springfield, Illinois. Her current practice location is 1025 S 6th St, Springfield, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 528-7541.

Delores A Gallo is licensed to practice in Illinois (license number 209000851) 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 1013984889.

Contact Information

	Delores A Gallo, CRNA
	1025 S 6th St, Springfield, IL 62703-2403
	(217) 528-7541
	Not Available

Map and Direction

Provider's Profile

Full Name	Delores A Gallo
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	1025 S 6th St, Springfield, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013984889
Provider Enumeration Date: 03/01/2006
Last Update Date: 02/21/2012

Medicare PECOS Information:

PECOS PAC ID: 6103987698
Enrollment ID: I20081202000640

Medical Identifiers

Medical identifiers for Delores A Gallo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013984889	NPI	-	NPPES
041207588	Other	IL	RN LICENSE
045954	Other		CCNA CERTIFICATION

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	209000851 (Illinois)	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. Delores A Gallo allows following entities to bill medicare on her behalf.

Entity Name	Springfield Clinic Llp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780638478 PECOS PAC ID: 0547166076 Enrollment ID: O20040331000826

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. Delores A 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
Delores A Gallo, CRNA 1025 S 6th St, Springfield, IL 62703-2403 Ph: (217) 528-7541	Delores A Gallo, CRNA 1025 S 6th St, Springfield, IL 62703-2403 Ph: (217) 528-7541

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Springfield, IL

Douglas Mcdonald Childs, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 800 E Carpenter St, Springfield, IL 62704 Phone: 217-525-5643 Fax: 217-544-2521
Carol A Gorden, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 701 N 1st St, Springfield, IL 62781 Phone: 217-788-3754 Fax: 217-788-7071
Ann R Larson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 701 N 1st St, Anesthesia Department, Springfield, IL 62781 Phone: 217-788-3754 Fax: 217-788-7071
Jenna Younker, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 E Carpenter St, Springfield, IL 62702 Phone: 217-525-5643 Fax: 217-544-2521
Kelsey A Wallace, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 701 N 1st St, Springfield, IL 62781 Phone: 217-788-3000
Larry D. Sartore, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 800 East Carpenter Street, Room 2k64, Springfield, IL 62769 Phone: 217-525-5643 Fax: 217-544-3311

Delores A Gallo, CRNA - Medicare Nurse Anesthetist, Certified Registered in Springfield, IL