| Dominic Rudolph Gallo, MD | |
|
1003 Chafee Ave, Augusta, GA 30904-5867 | |
| (707) 721-8937 | |
| (706) 721-7508 |
| Full Name | Dominic Rudolph Gallo |
|---|---|
| Gender | Male |
| Speciality | Cardiac Surgery |
| Experience | 30 Years |
| Location | 1003 Chafee Ave, Augusta, Georgia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891803821 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 042823 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kindred At Home | Statesboro, GA | Home health agency |
| Doctors Hospital | Augusta, GA | Hospital |
| Au Medical Center | Augusta, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Augusta Primary Care Services Llc | 2466513874 | 38 |
| Entity Name | Au Medical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841230620 PECOS PAC ID: 9931013513 Enrollment ID: O20040107000188 |
| Entity Name | Augusta Primary Care Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952565210 PECOS PAC ID: 2466513874 Enrollment ID: O20090126000519 |
| Entity Name | Wellstar Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374 |
| Mailing Address | Practice Location Address |
|---|---|
| Dominic Rudolph Gallo, MD 3624 J Dewey Gray Cir Ste 301, Augusta, GA 30909-6580 Ph: () - | Dominic Rudolph Gallo, MD 1003 Chafee Ave, Augusta, GA 30904-5867 Ph: (707) 721-8937 |
Richard Lee, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-8623 | |
Zachary Paul Baker, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 1348 Walton Way Ste 5700, Augusta, GA 30901 Phone: 706-722-8242 | |
John Salvatore Anastasi, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 1348 Walton Way Ste 5700, Augusta, GA 30901 Phone: 706-722-8242 Fax: 706-722-8351 | |
Dr. Holland Victor Moore, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 747 Aumond Rd, Augusta, GA 30909 Phone: 706-738-4222 | |
Michael A Watts, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 1348 Walton Way, Suite 5700, Augusta, GA 30901 Phone: 706-722-8242 Fax: 706-722-8351 | |
Timothy J Hunter, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 820 Saint Sebastian Way, Suite 6 - B, Augusta, GA 30901 Phone: 706-722-8242 Fax: 706-722-8351 | |
Dr. William Clifford Kitchens, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 1348 Walton Way Ste 5700, Augusta, GA 30901 Phone: 706-722-8242 Fax: 706-722-8351 |