Frank J Gallo, PHD is a medicare enrolled "Clinical Neuropsychologist" provider in Greenfield, Wisconsin. His current practice location is
9000 W Sura Ln Fl 4, Greenfield, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(414) 246-6400.
Frank J Gallo is licensed to practice in Wisconsin (license number 2931) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1093008963.
Healthcare Provider's Profile
Full Name | Frank J Gallo |
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Gender | Male |
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Speciality | Clinical Neuropsychologist |
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Location | 9000 W Sura Ln Fl 4, Greenfield, Wisconsin |
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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: 1093008963
- Provider Enumeration Date: 05/25/2011
- Last Update Date: 11/19/2021
Medicare PECOS Information:
- PECOS PAC ID: 5597934083
- Enrollment ID: I20230605000842
Medical Identifiers
Medical identifiers for Frank J Gallo such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1093008963 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103T00000X | Psychologist | 2931 (Wisconsin) | Secondary |
103G00000X | Clinical Neuropsychologist | 2931 (Wisconsin) | 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. Frank J Gallo allows following entities to bill medicare on his behalf.
Entity Name | Child And Family Psychological Services Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1912987181 PECOS PAC ID: 5991763823 Enrollment ID: O20041227000004 |
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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. Frank J 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 |
Frank J Gallo, PHD 3301 W Forest Home Ave, Milwaukee, WI 53215-2843 Ph: () - | Frank J Gallo, PHD 9000 W Sura Ln Fl 4, Greenfield, WI 53228-3477 Ph: (414) 246-6400 |
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