| Susan J Gallo, MD | |
|
620 S Haynes Ave, Miles City, MT 59301-4769 | |
| (406) 233-7000 | |
| Not Available |
| Full Name | Susan J Gallo |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 29 Years |
| Location | 620 S Haynes Ave, Miles City, Montana |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619089687 | NPI | - | NPPES |
| 000097105 | Other | MT | BCSB PIN |
| 0073117 | Other | MT | MDCD PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 8212 (Montana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Wel-home Health Miles City | Miles city, MT | Home health agency |
| Holy Rosary Hospice | Miles city, MT | Hospice |
| Billings Clinic | Billings, MT | Hospital |
| Holy Rosary Healthcare | Miles city, MT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Billings Clinic | 6002993516 | 685 |
| Holy Rosary Healthcare | 8921045667 | 31 |
| Entity Name | Holy Rosary Healthcare |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225201825 PECOS PAC ID: 8921045667 Enrollment ID: O20050413001081 |
| Entity Name | Billings Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326104845 PECOS PAC ID: 6002993516 Enrollment ID: O20080430000212 |
| Mailing Address | Practice Location Address |
|---|---|
| Susan J Gallo, MD Po Box 35100, Billings, MT 59107-5100 Ph: (406) 238-2500 | Susan J Gallo, MD 620 S Haynes Ave, Miles City, MT 59301-4769 Ph: (406) 233-7000 |
Ms. Patricia A. Grantham, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 620 S Haynes Ave, Miles City, MT 59301 Phone: 406-238-2500 | |
Christine Drivdahl-smith, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 11 S 7th St, Suite 241, Miles City, MT 59301 Phone: 406-234-1420 Fax: 406-234-1423 | |
Kaycee Elizabeth Gardner, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 620 S Haynes Ave, Miles City, MT 59301 Phone: 406-233-7000 | |
Tricia Weisgerber, RN Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 620 S Haynes Ave, Miles City, MT 59301 Phone: 406-233-7000 | |
Adele Lukaszewicz, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 210 S Winchester Ave, Miles City, MT 59301 Phone: 140-687-4560 | |
Jeannette Marielle Mcintyre, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2600 Wilson St, Miles City, MT 59301 Phone: 406-233-2500 Fax: 406-233-2553 |