Martin Robert Gallo, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Greensboro, Georgia. He went to Northwestern University Feinberg Medical School and graduated in 1986 and has 38 years of diverse experience with area of expertise as Obstetrics/gynecology. He is a member of the group practice Central Dupage Physician Group and his current practice location is
1000 Cowles Clinc Way Ste A-100, Greensboro, Georgia. You can reach out to his office (for appointments etc.) via phone at
(706) 418-5778.
Martin Robert Gallo is licensed to practice in Illinois (license number 036076016) 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 1659485977.
Physician's Profile
| Full Name | Martin Robert Gallo |
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| Gender | Male |
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| Speciality | Obstetrics/gynecology |
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| Experience | 38 Years |
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| Location | 1000 Cowles Clinc Way Ste A-100, Greensboro, Georgia |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Martin Robert Gallo attended and graduated from Northwestern University Feinberg Medical School in 1986
NPI Data:
- NPI Number: 1659485977
- Provider Enumeration Date: 08/17/2006
- Last Update Date: 07/07/2021
Medicare PECOS Information:
- PECOS PAC ID: 8426958554
- Enrollment ID: I20040305000111
Medical Identifiers
Medical identifiers for Martin Robert Gallo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1659485977 | NPI | - | NPPES |
| 036076016 | Medicaid | IL | |
| P00694794 | Other | IL | RR MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207V00000X | Obstetrics & Gynecology | 036076016 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Central Dupage Physician Group | 5890696231 | 1003 |
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. Martin Robert Gallo allows following entities to bill medicare on his behalf.
| Entity Name | Dupage Medical Group Ltd |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1801833983
PECOS PAC ID: 5496667941
Enrollment ID: O20031110000535 |
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| Entity Name | Central Dupage Physician Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1033149844
PECOS PAC ID: 5890696231
Enrollment ID: O20040303000601 |
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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. Martin Robert Gallo 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 |
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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 |
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