Dr Shane Gallick, DC is a medicare enrolled "Chiropractor" provider in Lake Hallie, Wisconsin. He went to Northwestern College Of Chiropractic and graduated in 2014 and has 10 years of diverse experience with area of expertise as Chiropractic. His current practice location is
4753 County Highway J, Lake Hallie, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(720) 448-5274.
Dr Shane Gallick is licensed to practice in Wisconsin (license number 5073) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1932637204.
Healthcare Provider's Profile
| Full Name | Dr Shane Gallick |
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| Gender | Male |
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| Speciality | Chiropractic |
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| Experience | 10 Years |
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| Location | 4753 County Highway J, Lake Hallie, Wisconsin |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Shane Gallick attended and graduated from Northwestern College Of Chiropractic in 2014
NPI Data:
- NPI Number: 1932637204
- Provider Enumeration Date: 05/31/2017
- Last Update Date: 05/31/2017
Medicare PECOS Information:
- PECOS PAC ID: 7618238874
- Enrollment ID: I20180302002058
Medical Identifiers
Medical identifiers for Dr Shane Gallick such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1932637204 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | 5073 (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. Dr Shane Gallick allows following entities to bill medicare on his behalf.
| Provider Name | Gallick Chiropractic Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1285162594
PECOS PAC ID: 6800157066
Enrollment ID: O20180302001962 |
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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. Dr Shane Gallick 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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Dr Shane Gallick, DC
4753 County Highway J,
Lake Hallie, WI 54729-3387
Ph: () - | Dr Shane Gallick, DC
4753 County Highway J,
Lake Hallie, WI 54729-3387
Ph: (720) 448-5274 |
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