Kayla Marie Gallucci, is a
Physician Assistant physician based in Winston Salem, North Carolina. Kayla Marie Gallucci is licensed to practice in North Carolina (license number 0010-15488) and her current practice location is Medical Center Blvd, Winston Salem, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(336) 716-2217.
NPI number for Kayla Marie Gallucci is 1932943842 and her current mailing address is Medical Center Blvd, Winston Salem, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1932943842.
Physician's Profile
| Full Name | Kayla Marie Gallucci |
|---|
| Gender | Female |
|---|
| Speciality | Physician Assistant |
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| Location | Medical Center Blvd, Winston Salem, North Carolina |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1932943842
- Provider Enumeration Date: 06/24/2024
- Last Update Date: 11/24/2025
Medical Identifiers
Medical identifiers for Kayla Marie Gallucci such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1932943842 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 0010-15488 (North Carolina) | Secondary |
| 363A00000X | Physician Assistant | 0010-15488 (North Carolina) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
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. Kayla Marie Gallucci is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kayla Marie Gallucci,
Medical Center Blvd,
Winston Salem, NC 27157-0001
Ph: (336) 716-6674 | Kayla Marie Gallucci,
Medical Center Blvd,
Winston Salem, NC 27157-2859
Ph: (336) 716-2217 |
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