Jacqueline Ann Gallagher, ACNP is a medicare enrolled "Clinical Nurse Specialist - Acute Care" in Lancaster, New York. Her current practice location is
123 Stony Rd, Lancaster, New York. You can reach out to her office (for appointments etc.) via phone at
(716) 684-9434.
Jacqueline Ann Gallagher is licensed to practice in New York (license number 43-430232) 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 1962695445.
Provider's Profile
Full Name | Jacqueline Ann Gallagher |
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Gender | Female |
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Speciality | Clinical Nurse Specialist - Acute Care |
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Location | 123 Stony Rd, Lancaster, New York |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1962695445
- Provider Enumeration Date: 08/20/2007
- Last Update Date: 08/20/2007
Medicare PECOS Information:
- PECOS PAC ID: 3375700842
- Enrollment ID: I20120210000655
Medical Identifiers
Medical identifiers for Jacqueline Ann Gallagher such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1962695445 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
364SA2100X | Clinical Nurse Specialist - Acute Care | 43-430232 (New York) | Primary |
364SA2200X | Clinical Nurse Specialist - Adult Health | 30-303487 (New York) | Secondary |
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. Jacqueline Ann Gallagher allows following entities to bill medicare on her behalf.
Entity Name | Kaleida Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1366473183 PECOS PAC ID: 7810805280 Enrollment ID: O20031105000212 |
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Entity Name | Nephrology Associates Of Western New York, Llp |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1063530053 PECOS PAC ID: 3476520560 Enrollment ID: O20040916001148 |
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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. Jacqueline Ann Gallagher 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 |
Jacqueline Ann Gallagher, ACNP 123 Stony Rd, Lancaster, NY 14086-1518 Ph: (716) 684-9434 | Jacqueline Ann Gallagher, ACNP 123 Stony Rd, Lancaster, NY 14086-1518 Ph: (716) 684-9434 |
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