Diego Galan Donlo, is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in New Haven, Connecticut. His current practice location is
300 George St Ste 901, New Haven, Connecticut. You can reach out to his office (for appointments etc.) via phone at
(203) 785-2095.
Diego Galan Donlo is licensed to practice in Connecticut (license number ) 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 1013587849.
Physician's Profile
| Full Name | Diego Galan Donlo |
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| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 300 George St Ste 901, New Haven, Connecticut |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1013587849
- Provider Enumeration Date: 06/24/2021
- Last Update Date: 06/27/2022
Medicare PECOS Information:
- PECOS PAC ID: 6608264080
- Enrollment ID: I20250304001938
Medical Identifiers
Medical identifiers for Diego Galan Donlo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1013587849 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2084P0800X | Psychiatry & Neurology - Psychiatry | 1013587849 (Missouri) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | 2021023810 (Missouri) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (Connecticut) | 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. Diego Galan Donlo allows following entities to bill medicare on his behalf.
| Entity Name | Physician Affiliate Group Of New York Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1013375526
PECOS PAC ID: 4688098833
Enrollment ID: O20200721001270 |
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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. Diego Galan Donlo 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 |
|---|
Diego Galan Donlo,
660 S Euclid Ave, Cb #a20,
St. Louis, MO 63110
Ph: () - | Diego Galan Donlo,
300 George St Ste 901,
New Haven, CT 06511-6662
Ph: (203) 785-2095 |
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