Mark A Gallardo, MD in Hattiesburg, MS

Mark A Gallardo, MD is a medicare enrolled "Dermatology" physician in Hattiesburg, Mississippi. He went to Louisiana State University School Of Medicine In New Orleans and graduated in 1994 and has 32 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Hattiesburg Clinic Pa and his current practice location is 104 Asbury Cir, Hattiesburg, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 268-5252.

Mark A Gallardo is licensed to practice in Mississippi (license number 17102) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1336159607.

Contact Information

	Mark A Gallardo, MD
	104 Asbury Cir, Hattiesburg, MS 39402-1302
	(601) 268-5252
	(601) 268-5190

Map and Direction

Physician's Profile

Full Name	Mark A Gallardo
Gender	Male
Speciality	Dermatology
Experience	32 Years
Location	104 Asbury Cir, Hattiesburg, Mississippi
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mark A Gallardo attended and graduated from Louisiana State University School Of Medicine In New Orleans in 1994

NPI Data:

NPI Number: 1336159607
Provider Enumeration Date: 08/09/2006
Last Update Date: 07/14/2020

Medicare PECOS Information:

PECOS PAC ID: 9335221043
Enrollment ID: I20080201000391

Medical Identifiers

Medical identifiers for Mark A Gallardo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336159607	NPI	-	NPPES
00123829	Medicaid	MS
1559339	Other	MS	AMERICAN ADMIN GROUP
1768162	Medicaid	LA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	17102 (Mississippi)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Hattiesburg Clinic Pa	5193706794	492

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. Mark A Gallardo allows following entities to bill medicare on his behalf.

Entity Name	Hattiesburg Clinic Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740213446 PECOS PAC ID: 5193706794 Enrollment ID: O20040528000685

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. Mark A Gallardo 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
Mark A Gallardo, MD 415 S 28th Ave, Hattiesburg, MS 39401-7246 Ph: (601) 268-5252	Mark A Gallardo, MD 104 Asbury Cir, Hattiesburg, MS 39402-1302 Ph: (601) 268-5252

Reviews and Comments

Dermatology Doctors in Hattiesburg, MS

William Lowe Waller Iii, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3 Thompson Park, Hattiesburg, MS 39401 Phone: 601-579-3130 Fax: 601-264-5092
Steven C Shapiro, MD Dermatology Medicare: Medicare Enrolled Practice Location: 323 Woodshire Dr, Hattiesburg, MS 39402 Phone: 601-434-3938
Stephen L Conerly, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 104 Asbury Cir, Hattiesburg, MS 39402 Phone: 601-268-5252 Fax: 601-268-5190
Dr. Rebecca Duff, MD Dermatology Medicare: Medicare Enrolled Practice Location: 40 Franklin Rd, Hattiesburg, MS 39402 Phone: 601-296-3405 Fax: 601-296-3409
Lauren Ackerman, PA Dermatology Medicare: Accepting Medicare Assignments Practice Location: 102 E Hospital Dr, Hattiesburg, MS 39402 Phone: 601-475-9968
Maureen Offiah, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 104 Asbury Cir, Hattiesburg, MS 39402 Phone: 601-268-5252 Fax: 601-579-5240

Mark A Gallardo, MD - Medicare Dermatology in Hattiesburg, MS