Gregory Gullo, MD is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in West Linn, Oregon. His current practice location is
2020 8th Ave, Suite 200, West Linn, Oregon. You can reach out to his office (for appointments etc.) via phone at
(503) 512-1212.
Gregory Gullo is licensed to practice in Oregon (license number MD26192) 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 1124075791.
Physician's Profile
| Full Name | Gregory Gullo |
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| Gender | Male |
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| Speciality | Pain Medicine - Interventional Pain Medicine |
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| Location | 2020 8th Ave, West Linn, Oregon |
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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: 1124075791
- Provider Enumeration Date: 05/28/2006
- Last Update Date: 09/18/2012
Medicare PECOS Information:
- PECOS PAC ID: 6901837277
- Enrollment ID: I20050929000979
Medical Identifiers
Medical identifiers for Gregory Gullo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1124075791 | NPI | - | NPPES |
| 027890 | Medicaid | OR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207LP2900X | Anesthesiology - Pain Medicine | MD26192 (Oregon) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | MD26192 (Oregon) | 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. Gregory Gullo allows following entities to bill medicare on his behalf.
| Entity Name | Pain Care Specialists Of Oregon Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1942675467
PECOS PAC ID: 7618273087
Enrollment ID: O20160310001320 |
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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. Gregory Gullo 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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Gregory Gullo, MD
2020 8th Ave, Suite 200,
West Linn, OR 97068-4657
Ph: (503) 512-1212 | Gregory Gullo, MD
2020 8th Ave, Suite 200,
West Linn, OR 97068-4657
Ph: (503) 512-1212 |
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