Mariam Gallagher, DO - Medicare Family Medicine in Waterloo, IA

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Mariam Gallagher, DO is a medicare enrolled "Family Medicine" physician in Waterloo, Iowa. Her current practice location is 2055 Kimball Ave, Waterloo, Iowa. You can reach out to her office (for appointments etc.) via phone at (818) 624-4536.

Mariam Gallagher is licensed to practice in Iowa (license number DO-05933) 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 1366825234.

Contact Information

Mariam Gallagher, DO
2055 Kimball Ave,
Waterloo, IA 50702-5014
(818) 624-4536
Not Available

Map and Direction




Physician's Profile

Full NameMariam Gallagher
GenderFemale
SpecialityFamily Medicine
Location2055 Kimball Ave, Waterloo, Iowa
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1366825234
  • Provider Enumeration Date: 07/09/2015
  • Last Update Date: 06/19/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 9830485598
  • Enrollment ID: I20240118001358

Medical Identifiers

Medical identifiers for Mariam Gallagher such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366825234NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine S6840 (Texas)Secondary
207Q00000XFamily Medicine 5940 (Oklahoma)Secondary
207Q00000XFamily Medicine 0097R (Oklahoma)Secondary
207Q00000XFamily Medicine DO-05933 (Iowa)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. Mariam Gallagher allows following entities to bill medicare on her behalf.
Entity NameCovenant Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548288160
PECOS PAC ID: 0244148732
Enrollment ID: O20031111000534

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. Mariam 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
Mariam Gallagher, DO
2055 Kimball Ave Ste 201,
Waterloo, IA 50702-5047

Ph: (818) 624-4536		Mariam Gallagher, DO
2055 Kimball Ave,
Waterloo, IA 50702-5014

Ph: (818) 624-4536

Reviews and Comments


Family Medicine Doctors in Waterloo, IA

Kurtis Alan Lucas, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2055 Kimball Ave Ste 101, Waterloo, IA 50702
Phone: 319-272-2112    Fax: 319-272-2107
Mark J Louviere, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 212 W Dale St, Waterloo, IA 50703
Phone: 319-235-3568    Fax: 319-235-5013
Dr. Robert L Friedman, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2055 Kimball Ave, Suite 101, Waterloo, IA 50702
Phone: 319-272-2112    Fax: 319-272-2107
Manpreet Singh Gill, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2055 Kimball Ave, Suite 101, Waterloo, IA 50702
Phone: 319-272-2112    Fax: 319-272-2107
Sejla Cejvanovic, ARNP
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 905 Franklin St, Waterloo, IA 50703
Phone: 319-874-3000    
Emily Rose Pursley, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: Medical Arts Bldg., 2055 Kimball Ave. Suite 101, Waterloo, IA 50702
Phone: 319-272-2112    
Shamim S Khan, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2055 Kimball Ave Ste 101, Waterloo, IA 50702
Phone: 319-272-2112    Fax: 319-272-2107

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.