Mr Daniel A Gullotta, PT,MA is a
Physical Medicine & Rehabilitation physician based in Polson, Montana. Mr Daniel A Gullotta is licensed to practice in Montana (license number 741PT) and his current practice location is 211a Main St, Polson, Montana. He can be reached at his office (for appointments etc.) via phone at
(406) 883-8101.
NPI number for Mr Daniel A Gullotta is 1194725416 and his current mailing address is 211a Main St, Polson, Montana. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1194725416.
Physician's Profile
| Full Name | Mr Daniel A Gullotta |
|---|
| Gender | Male |
|---|
| Speciality | Physical Medicine & Rehabilitation |
|---|
| Location | 211a Main St, Polson, Montana |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1194725416
- Provider Enumeration Date: 07/28/2005
- Last Update Date: 07/23/2009
Medical Identifiers
Medical identifiers for Mr Daniel A Gullotta such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1194725416 | NPI | - | NPPES |
| 062065 | Other | MT | PPT BC/BS |
| 650018165 | Other | MT | RAILROAD MEDICARE |
| 0342244 | Medicaid | MT | |
| 061605 | Other | MT | LPT BCBS |
| 0348556 | Medicaid | MT | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208100000X | Physical Medicine & Rehabilitation | 741PT (Montana) | Primary |
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. Mr Daniel A Gullotta 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 |
|---|
Mr Daniel A Gullotta, PT,MA
211a Main St,
Polson, MT 59860-2119
Ph: (406) 883-8101 | Mr Daniel A Gullotta, PT,MA
211a Main St,
Polson, MT 59860-2119
Ph: (406) 883-8101 |
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