Nolan A Gall, MD is a medicare enrolled "Physical Medicine & Rehabilitation - Pain Medicine" physician in St Augustine, Florida. He went to Georgetown University School Of Medicine and graduated in 2018 and has 8 years of diverse experience with area of expertise as Physical Medicine And Rehabilitation. He is a member of the group practice Southeast Orthopedic Specialists Llc and his current practice location is
45 Groover Loop Ste 201, St Augustine, Florida. You can reach out to his office (for appointments etc.) via phone at
(904) 634-0640.
Nolan A Gall is licensed to practice in Florida (license number ME161787) 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 1245735893.
Physician's Profile
| Full Name | Nolan A Gall |
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| Gender | Male |
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| Speciality | Physical Medicine And Rehabilitation |
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| Experience | 8 Years |
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| Location | 45 Groover Loop Ste 201, St Augustine, Florida |
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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:
- Nolan A Gall attended and graduated from Georgetown University School Of Medicine in 2018
NPI Data:
- NPI Number: 1245735893
- Provider Enumeration Date: 03/27/2018
- Last Update Date: 07/28/2025
Medicare PECOS Information:
- PECOS PAC ID: 3971982240
- Enrollment ID: I20230803002393
Medical Identifiers
Medical identifiers for Nolan A Gall such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1245735893 | NPI | - | NPPES |
| 119560200 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208VP0000X | Pain Medicine - Pain Medicine | ME1616787 (Florida) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | ME161787 (Florida) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Southeast Orthopedic Specialists Llc | 1456246974 | 134 |
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. Nolan A Gall allows following entities to bill medicare on his behalf.
| Entity Name | Southeast Orthopedic Specialists Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1629025820
PECOS PAC ID: 1456246974
Enrollment ID: O20040216000301 |
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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. Nolan A Gall 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 |
|---|
Nolan A Gall, MD
6800 Southpoint Pkwy Ste 300,
Jacksonville, FL 32216-8203
Ph: (904) 634-0604 | Nolan A Gall, MD
45 Groover Loop Ste 201,
St Augustine, FL 32086-6586
Ph: (904) 634-0640 |
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