Rafael L Gallardo, MD in Terre Haute, IN - Medicare Internal Medicine

Rafael L Gallardo, MD is a medicare enrolled "Internal Medicine - Hematology & Oncology" physician in Terre Haute, Indiana. His current practice location is 1711 N 6 1/2 St, Ste 200, Terre Haute, Indiana. You can reach out to his office (for appointments etc.) via phone at (812) 242-3610.

Rafael L Gallardo is licensed to practice in Indiana (license number 01060896A) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1578670394.

Contact Information

	Rafael L Gallardo, MD
	1711 N 6 1/2 St, Ste 200, Terre Haute, IN 47804-2766
	(812) 242-3610
	(812) 242-3630

Map and Direction

Physician's Profile

Full Name	Rafael L Gallardo
Gender	Male
Speciality	Internal Medicine - Hematology & Oncology
Location	1711 N 6 1/2 St, Terre Haute, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1578670394
Provider Enumeration Date: 08/25/2006
Last Update Date: 08/18/2010

Medicare PECOS Information:

PECOS PAC ID: 0547299240
Enrollment ID: I20050811000820

Medical Identifiers

Medical identifiers for Rafael L Gallardo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578670394	NPI	-	NPPES
200524590B	Medicaid	IN
200524590G	Medicaid	IN
200524590T	Medicaid	IN
P00834944	Other	IN	RAILROAD MEDICARE
200524590K	Medicaid	IN
200524590L	Medicaid	IN
200524590Y	Medicaid	IN
200524590Z	Medicaid	IN
000000372569	Other		ANTHEM
P00268119	Other		RAILROAD MCARE PALAMETTO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RH0003X	Internal Medicine - Hematology & Oncology	01060896A (Indiana)	Primary
207RH0003X	Internal Medicine - Hematology & Oncology	36068281 (Illinois)	Secondary

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. Rafael L Gallardo allows following entities to bill medicare on his behalf.

Entity Name	Union Associated Physicians Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891028379 PECOS PAC ID: 3375687437 Enrollment ID: O20100213000002

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. Rafael L 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
Rafael L Gallardo, MD 221 S 6th St, Terre Haute, IN 47807-4214 Ph: (812) 242-3610	Rafael L Gallardo, MD 1711 N 6 1/2 St, Ste 200, Terre Haute, IN 47804-2766 Ph: (812) 242-3610

Reviews and Comments

Internal Medicine Doctors in Terre Haute, IN

Diane Jordan-wagner, M.D. Hematology & Oncology Medicare: Medicare Enrolled Practice Location: 1429 N 6th St, Terre Haute, IN 47804 Phone: 812-232-0564 Fax: 812-235-3330
Carrie Ann Deakins, MSN, RN, FNP-BC Hematology & Oncology Medicare: Medicare Enrolled Practice Location: 3560 S 4th St, Terre Haute, IN 47802 Phone: 812-235-8496
Casey E Jacobs-campbell, FNP-BC Hematology & Oncology Medicare: Not Enrolled in Medicare Practice Location: 1801 N 6th St, Terre Haute, IN 47804 Phone: 812-238-4708
Imad George Koj, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 3903 S 7th St, Ste 2e, Terre Haute, IN 47802 Phone: 812-235-7370 Fax: 812-235-7570
Sudha Patel, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 6288 S Frye St, Terre Haute, IN 47802 Phone: 812-894-2130
Dr. Dipen V Shah, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 1332 N 7th St, Terre Haute, IN 47807 Phone: 812-478-8888 Fax: 812-478-1114
Dr. Tony K. Nasser, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 2723 S 7th Street, Suite A, Terre Haute, IN 47802 Phone: 812-232-8164 Fax: 812-234-6391

Rafael L Gallardo, MD - Medicare Internal Medicine in Terre Haute, IN