| Martin Robert Gallo, MD | |
|
1000 Cowles Clinc Way Ste A-100, Greensboro, GA 30642-5286 | |
| (706) 418-5778 | |
| Not Available |
| Full Name | Martin Robert Gallo |
|---|---|
| Gender | Male |
| Speciality | Obstetrics/gynecology |
| Experience | 39 Years |
| Location | 1000 Cowles Clinc Way Ste A-100, Greensboro, Georgia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659485977 | NPI | - | NPPES |
| 036076016 | Medicaid | IL | |
| P00694794 | Other | IL | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 036076016 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Central Dupage Hospital | Winfield, IL | Hospital |
| Palos Community Hospital | Palos heights, IL | Hospital |
| Morgan Medical Center | Madison, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northwestern Medical Faculty Foundation | 4587576814 | 3871 |
| Central Dupage Physician Group | 5890696231 | 1005 |
| Entity Name | Northwestern Medical Faculty Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346235314 PECOS PAC ID: 4587576814 Enrollment ID: O20031105000541 |
| Entity Name | Dupage Medical Group Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801833983 PECOS PAC ID: 5496667941 Enrollment ID: O20031110000535 |
| Entity Name | Central Dupage Physician Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033149844 PECOS PAC ID: 5890696231 Enrollment ID: O20040303000601 |
| Mailing Address | Practice Location Address |
|---|---|
| Martin Robert Gallo, MD 21202 Owens Rd Ste 201, Mokena, IL 60448-2001 Ph: (779) 334-0010 | Martin Robert Gallo, MD 1000 Cowles Clinc Way Ste A-100, Greensboro, GA 30642-5286 Ph: (706) 418-5778 |
Jeffrey Lawrence Zweig, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 803 S Main St, Greensboro, GA 30642 Phone: 706-453-1201 | |
Dennis Spencer, Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 803 S Main St, Greensboro, GA 30642 Phone: 706-453-1201 Fax: 706-999-3221 |