| Dr James Francis Gallant, MD | |
|
403 E 1st St, Dixon, IL 61021-3116 | |
| (815) 285-5552 | |
| (815) 285-5865 |
| Full Name | Dr James Francis Gallant |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 403 E 1st St, Dixon, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295712974 | NPI | - | NPPES |
| 036075586 | Other | IL | STATE LICENSE |
| 036075586 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036075586 (Illinois) | Primary |
| 207P00000X | Emergency Medicine | 036075586 (Illinois) | Secondary |
| Entity Name | Brazos Valley Emergency Physicians Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982642955 PECOS PAC ID: 0749276772 Enrollment ID: O20040521001234 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr James Francis Gallant, MD 7200 W White Eagle Rd, Leaf River, IL 61047-9733 Ph: (940) 255-5421 | Dr James Francis Gallant, MD 403 E 1st St, Dixon, IL 61021-3116 Ph: (815) 285-5552 |
Maitri Mehta, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 102 S Hennepin Ave, Dixon, IL 61021 Phone: 815-285-8520 Fax: 815-285-8903 | |
Kirk Anthony Stewart, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 102 S Hennepin Ave, Dixon, IL 61021 Phone: 815-285-8520 Fax: 815-285-8520 | |
Joyce Johnson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 102 S Hennepin Ave, Dixon, IL 61021 Phone: 815-285-8520 Fax: 815-285-8903 | |
Jaclyn Pranita Parayao, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 102 S Hennepin Ave, Dixon, IL 61021 Phone: 815-285-8520 Fax: 815-285-8903 | |
Tyler Walsh, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 102 S Hennepin Ave, Dixon, IL 61021 Phone: 815-285-8520 Fax: 815-285-8903 | |
Dr. Kristine P Pultorak, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 403 E 1st St, Dixon, IL 61021 Phone: 815-288-5561 Fax: 815-285-5859 |