| Ms Heidi Ann Gallo, ARNP | |
|
908 Dupont Rd Ste 100, Louisville, KY 40207-4602 | |
| (502) 883-3147 | |
| (502) 891-0028 |
| Full Name | Ms Heidi Ann Gallo |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Adult Health |
| Location | 908 Dupont Rd Ste 100, Louisville, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104807189 | NPI | - | NPPES |
| K075320 | Other | KY | MEDICARE PTAN |
| 000000187104 | Other | ANTHEM | |
| 1161890 | Other | PASSPORT | |
| 021102300 | Other | FEDERAL BLACK LUNG | |
| 2439614000 | Other | PASSPORT ADVANTAGE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | 3421P (Kentucky) | Primary |
| Entity Name | Access Adult Health Day Care Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336718071 PECOS PAC ID: 4789073867 Enrollment ID: O20211110002789 |
| Entity Name | Aset Primary Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922864719 PECOS PAC ID: 7113368572 Enrollment ID: O20240516000291 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Heidi Ann Gallo, ARNP 908 Dupont Rd Ste 100, Louisville, KY 40207-4602 Ph: (502) 883-3147 | Ms Heidi Ann Gallo, ARNP 908 Dupont Rd Ste 100, Louisville, KY 40207-4602 Ph: (502) 883-3147 |
Jacob William Harvey Jr., APRN-FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 516 W Breckinridge St, Louisville, KY 40203 Phone: 502-648-7909 | |
Harold Dean O'brien, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1357 Bardstown Rd, Louisville, KY 40204 Phone: 502-897-6443 Fax: 502-897-3461 | |
Tricia L. Flake, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4402 Churchman Ave, Suite 410, Louisville, KY 40215 Phone: 502-367-6322 Fax: 502-380-3843 | |
Aimee Christine Mihalyov, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10798 Dixie Hwy Ste 102, Louisville, KY 40272 Phone: 502-449-6464 Fax: 502-449-6465 | |
Amanda Danielle Saccone, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1930 Bishop Ln Fl 12, Louisville, KY 40218 Phone: 502-272-5220 Fax: 502-272-5117 | |
Celaida Lezcano, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 234 E Gray St Ste 670, Louisville, KY 40202 Phone: 502-629-4525 Fax: 502-629-4529 | |
Victoria Jean Shipman, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 315 E Broadway Fl 4, Louisville, KY 40202 Phone: 502-629-2500 |