Brittni Gallup, in Grand Forks, ND - Medicare Nurse Practitioner

Brittni Gallup, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Grand Forks, North Dakota. Her current practice location is 4700 S Washington St Ste G, Grand Forks, North Dakota. You can reach out to her office (for appointments etc.) via phone at (701) 205-3000.

Brittni Gallup is licensed to practice in Alabama (license number 1-192868) 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 1740083849.

Contact Information

	Brittni Gallup,
	4700 S Washington St Ste G, Grand Forks, ND 58201-8155
	(701) 205-3000
	(701) 732-2501

Map and Direction

Provider's Profile

Full Name	Brittni Gallup
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	4700 S Washington St Ste G, Grand Forks, North Dakota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1740083849
Provider Enumeration Date: 04/01/2025
Last Update Date: 06/06/2025

Medicare PECOS Information:

PECOS PAC ID: 5698291722
Enrollment ID: I20250501000423

Medical Identifiers

Medical identifiers for Brittni Gallup such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740083849	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	1-192868 (Alabama)	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. Brittni Gallup allows following entities to bill medicare on her behalf.

Entity Name	Peterson Medical Clinics, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699295774 PECOS PAC ID: 9335412220 Enrollment ID: O20180420000250

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. Brittni Gallup 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
Brittni Gallup, Po Box 5210, Grand Forks, ND 58206-5210 Ph: (701) 205-3000	Brittni Gallup, 4700 S Washington St Ste G, Grand Forks, ND 58201-8155 Ph: (701) 205-3000

Reviews and Comments

Nurse Practitioner Nurses in Grand Forks, ND

Ms. Estella Ann Boger, GNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1000 S Columbia Rd, Grand Forks, ND 58201 Phone: 701-780-5000
Bethann Marie Nuelle, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4700 S Washington St, Grand Forks, ND 58201 Phone: 701-757-2559
Kaitlyn Rose Vagle, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1200 S Columbia Rd, Grand Forks, ND 58201 Phone: 701-780-5000
Ms. Mary Pat Holler-bibel, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 718 Oak St, Grand Forks, ND 58201 Phone: 218-230-0070 Fax: 800-958-7702
Kayla Clausen, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 960 S Columbia Rd, Grand Forks, ND 58201 Phone: 701-780-5400 Fax: 701-780-6416
Kelsey Vivatson, PMHNP-BC, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2534 17th Ave S Ste E, Grand Forks, ND 58201 Phone: 701-885-4551 Fax: 701-757-1351
Laura Olson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1300 S Columbia Rd, Grand Forks, ND 58201 Phone: 701-780-2300 Fax: 701-780-6940

Brittni Gallup, - Medicare Nurse Practitioner in Grand Forks, ND