Ashley Rae Gallina, APRN, CNM, FNP-C - Medicare Nurse Practitioner in Ingleside, IL

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Ashley Rae Gallina, APRN, CNM, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Ingleside, Illinois. Her current practice location is 214 Washington St Ste 1, Ingleside, Illinois. You can reach out to her office (for appointments etc.) via phone at (815) 363-2020.

Ashley Rae Gallina is licensed to practice in Illinois (license number 209.031083) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1619667656.

Contact Information

Ashley Rae Gallina, APRN, CNM, FNP-C
214 Washington St Ste 1,
Ingleside, IL 60041-9208
(815) 363-2020
(224) 225-1003

Map and Direction




Provider's Profile

Full NameAshley Rae Gallina
GenderFemale
SpecialityNurse Practitioner - Family
Location214 Washington St Ste 1, Ingleside, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1619667656
  • Provider Enumeration Date: 05/12/2023
  • Last Update Date: 02/17/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 5991227282
  • Enrollment ID: I20250317000193

Medical Identifiers

Medical identifiers for Ashley Rae Gallina such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619667656NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367A00000XAdvanced Practice Midwife 209024423 (Illinois)Secondary
363LF0000XNurse Practitioner - Family 209.031083 (Illinois)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. Ashley Rae Gallina allows following entities to bill medicare on her behalf.
Entity NameLakes Health And Wellness Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902621980
PECOS PAC ID: 3173045465
Enrollment ID: O20250317000162

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. Ashley Rae Gallina 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 AddressPractice Location Address
Ashley Rae Gallina, APRN, CNM, FNP-C
214 Washington St Ste 1,
Ingleside, IL 60041-9208

Ph: (815) 363-2020		Ashley Rae Gallina, APRN, CNM, FNP-C
214 Washington St Ste 1,
Ingleside, IL 60041-9208

Ph: (815) 363-2020

Reviews and Comments


Nurse Practitioner Nurses in Ingleside, IL

Wendy M Belletynee, APN, FNP-C, FPA
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 214 Washington St Ste 2, Ingleside, IL 60041
Phone: 224-225-1140    Fax: 224-225-1131
Michelle Elizabeth Dace, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 214 Washington St Ste 1, Ingleside, IL 60041
Phone: 847-587-3004    Fax: 847-587-4325

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.