Jessica D Gallagher, MD - Medicare Family Medicine in Fairborn, OH

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Jessica D Gallagher, MD is a medicare enrolled "Family Medicine" physician in Fairborn, Ohio. Her current practice location is 302 W Main St, Fairborn, Ohio. You can reach out to her office (for appointments etc.) via phone at (937) 281-4673.

Jessica D Gallagher is licensed to practice in Ohio (license number 35077307) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1124197793.

Contact Information

Jessica D Gallagher, MD
302 W Main St,
Fairborn, OH 45324-5037
(937) 281-4673
Not Available

Map and Direction




Physician's Profile

Full NameJessica D Gallagher
GenderFemale
SpecialityFamily Medicine
Location302 W Main St, Fairborn, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1124197793
  • Provider Enumeration Date: 11/07/2006
  • Last Update Date: 10/30/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1951320779
  • Enrollment ID: I20181213002264

Medical Identifiers

Medical identifiers for Jessica D Gallagher such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124197793NPI-NPPES
2247401MedicaidOH
P00432941OtherOHRAILROAD MEDICARE
000000387041OtherOHANTHEM

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 35077307 (Ohio)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. Jessica D Gallagher allows following entities to bill medicare on her behalf.
Entity NameDecoach Team Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366992224
PECOS PAC ID: 7517244551
Enrollment ID: O20170501001472

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. Jessica D Gallagher 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 AddressPractice Location Address
Jessica D Gallagher, MD
100 Crowne Point Pl,
Cincinnati, OH 45241-5427

Ph: (513) 743-7628		Jessica D Gallagher, MD
302 W Main St,
Fairborn, OH 45324-5037

Ph: (937) 281-4673

Reviews and Comments


Family Medicine Doctors in Fairborn, OH

Stefanie Kristine Lewis,
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1045 Channingway Dr, Fairborn, OH 45324
Phone: 937-878-8645    Fax: 937-878-8646
Charles J. Zeller Iii, DO
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1045 Channingway Dr., Fairborn, OH 45324
Phone: 937-878-8644    Fax: 937-878-8646
Dr. Kevin P Macy, DO
Family Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 7790 Dayton Springfield Rd Ste B, Fairborn, OH 45324
Phone: 937-340-6440    Fax: 937-340-6441
Joel D Macy, M.D.
Family Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 7790 Dayton Springfield Rd Ste B, Fairborn, OH 45324
Phone: 937-340-6440    Fax: 937-340-6441
Anessa D Alappatt, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2180 Gateway Dr, Fairborn, OH 45324
Phone: 937-208-8155    Fax: 937-208-8140
Dr. Dan F Bautista, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1840 Commerce Center Blvd, Fairborn, OH 45324
Phone: 937-754-4580    Fax: 937-754-4575

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.