Adam A Gallucci, MD is a medicare enrolled "Anesthesiology" physician in Stafford Springs, Connecticut. His current practice location is
201 Chestnut Hill Rd, Stafford Springs, Connecticut. You can reach out to his office (for appointments etc.) via phone at
(860) 684-8424.
Adam A Gallucci is licensed to practice in Massachusetts (license number 54183) 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 1598720781.
Physician's Profile
| Full Name | Adam A Gallucci |
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| Gender | Male |
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| Speciality | Anesthesiology |
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| Location | 201 Chestnut Hill Rd, Stafford Springs, Connecticut |
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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: 1598720781
- Provider Enumeration Date: 04/19/2006
- Last Update Date: 01/05/2011
Medicare PECOS Information:
- PECOS PAC ID: 7416903125
- Enrollment ID: I20050325000290
Medical Identifiers
Medical identifiers for Adam A Gallucci such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1598720781 | NPI | - | NPPES |
| J04334 | Other | MA | BLUESHIELD |
| 6192904 | Medicaid | MA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207L00000X | Anesthesiology | 54183 (Massachusetts) | 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. Adam A Gallucci allows following entities to bill medicare on his behalf.
| Entity Name | Woodland Anesthesia Associates Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1437109824 PECOS PAC ID: 8820083652 Enrollment ID: O20180215000067 |
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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. Adam A Gallucci 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 |
Adam A Gallucci, MD 99 E River Dr, 5th Floor, East Hartford, CT 06108-3288 Ph: (860) 282-4123 | Adam A Gallucci, MD 201 Chestnut Hill Rd, Stafford Springs, CT 06076-4005 Ph: (860) 684-8424 |
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