Merrissa Danyol Gallegos, NP | |
2850 Hog Mountain Rd, #102, Dacula, GA 30019-5934 | |
(770) 614-5454 | |
Not Available |
Full Name | Merrissa Danyol Gallegos |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 9 Years |
Location | 2850 Hog Mountain Rd, Dacula, Georgia |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235689498 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 244062 (Georgia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Gwinnett Physician Group, Llc | 9133211139 | 89 |
Entity Name | Gwinnett Physician Group, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578574661 PECOS PAC ID: 9133211139 Enrollment ID: O20070822001035 |
Mailing Address | Practice Location Address |
---|---|
Merrissa Danyol Gallegos, NP 2850 Hog Mountain Rd, #102, Dacula, GA 30019-5934 Ph: () - | Merrissa Danyol Gallegos, NP 2850 Hog Mountain Rd, #102, Dacula, GA 30019-5934 Ph: (770) 614-5454 |
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