Roel Angel Gallo Jr, MD in Prescott, AZ

Roel Angel Gallo Jr, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Prescott, Arizona. His current practice location is 1003 Willow Creek Rd, Prescott, Arizona. You can reach out to his office (for appointments etc.) via phone at (480) 985-1093.

Roel Angel Gallo Jr is licensed to practice in Arizona (license number 21021) 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 1558335596.

Contact Information

	Roel Angel Gallo Jr, MD
	1003 Willow Creek Rd, Prescott, AZ 86301-1641
	(480) 985-1093
	(480) 985-0468

Map and Direction

Physician's Profile

Full Name	Roel Angel Gallo Jr
Gender	Male
Speciality	Pathology - Anatomic Pathology & Clinical Pathology
Location	1003 Willow Creek Rd, Prescott, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1558335596
Provider Enumeration Date: 02/15/2006
Last Update Date: 01/24/2008

Medicare PECOS Information:

PECOS PAC ID: 9638062557
Enrollment ID: I20101026000004

Medical Identifiers

Medical identifiers for Roel Angel Gallo Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558335596	NPI	-	NPPES
AX5901	Other	AZ	HEALTHNET PROV NUMBER
CB2931	Other	AZ	RR MC GROUP PROV NUMBER
497025	Medicaid	AZ
AZ0876870	Other	AZ	BCBS PROVIDER NUMBER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207ZP0102X	Pathology - Anatomic Pathology & Clinical Pathology	21021 (Arizona)	Primary

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. Roel Angel Gallo Jr allows following entities to bill medicare on his behalf.

Entity Name	Yavapai Pathology Associates Plc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841234184 PECOS PAC ID: 3274426192 Enrollment ID: O20040204001083

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. Roel Angel Gallo Jr 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
Roel Angel Gallo Jr, MD Po Box 20490, Mesa, AZ 85277-0490 Ph: (480) 985-1093	Roel Angel Gallo Jr, MD 1003 Willow Creek Rd, Prescott, AZ 86301-1641 Ph: (480) 985-1093

Reviews and Comments

Pathology Doctors in Prescott, AZ

Dr. James Arocho, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1003 Willow Creek Rd, Prescott, AZ 86301 Phone: 480-985-1093 Fax: 480-296-7665
Dr. Brent Martin Hjermstad, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 7370 N Old Cornfield Ln, Prescott, AZ 86305 Phone: 509-993-1374 Fax: 928-212-3945
Michael Anthony Arroyo, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1003 Willow Creek Rd, Prescott, AZ 86301 Phone: 480-985-1093 Fax: 480-985-0468
Monty A Hawkins, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1003 Willow Creek Rd, Prescott, AZ 86301 Phone: 480-985-1093 Fax: 480-296-7665
Dr. Philip Earl Keen, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 980 Division St, Prescott, AZ 86301 Phone: 928-771-3163 Fax: 928-771-3105
Dr. Karen Marie Johnson, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 1003 Willow Creek Rd, Prescott, AZ 86301 Phone: 928-771-5761 Fax: 928-771-5175

Roel Angel Gallo Jr, MD - Medicare Pathology in Prescott, AZ