| Robin Gallo, PA-C | |
|
405 Rushing Dr, Herrin, IL 62948-3730 | |
| (618) 993-3300 | |
| (618) 997-6626 |
| Full Name | Robin Gallo |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 27 Years |
| Location | 405 Rushing Dr, Herrin, Illinois |
| 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 |
|---|---|---|---|
| 1497869440 | NPI | - | NPPES |
| 043448 | Other | HEALTH ALLIANCE | |
| 143870 | Medicaid | IL | |
| 080129117 | Other | RAILROAD MEDICARE | |
| 174143 | Other | HEALTH LINK | |
| 10019630 | Other | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 085001347 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Herrin Hospital | Herrin, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southern Illinois Medical Services Nfp | 3678677390 | 331 |
| Gastroenterology Care Of Southern Illinois Llc | 5294831343 | 2 |
| Logan Primary Care Service Corp. | 8628967064 | 33 |
| Entity Name | Southern Illinois Medical Services Nfp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770656837 PECOS PAC ID: 3678677390 Enrollment ID: O20070404000595 |
| Entity Name | Gastroenterology Care of Southern Illinois LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609914183 PECOS PAC ID: 5294831343 Enrollment ID: O20070507000114 |
| Mailing Address | Practice Location Address |
|---|---|
| Robin Gallo, PA-C Po Box 3988, Carbondale, IL 62902-3988 Ph: (618) 457-5200 | Robin Gallo, PA-C 405 Rushing Dr, Herrin, IL 62948-3730 Ph: (618) 993-3300 |
Mr. Leon Gauthier, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 220 N Park Ave, Suite 2, Herrin, IL 62948 Phone: 618-942-3344 Fax: 618-942-5045 |
Mr. John W Nugent, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 510 Lincoln Drive, Southern Orthopedic Associates Sc, Herrin, IL 62948 Phone: 618-997-6800 Fax: 618-998-9124 |
Mr. Hollis Johnson Clark Jr., P.A.-C. Physician Assistant Medicare: Medicare Enrolled Practice Location: 510 Lincoln Dr, Herrin, IL 62948 Phone: 618-997-6800 Fax: 618-997-1187 |
Mr. Kevin L Rainey, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 510 Lincoln Drive, Southern Orthopedic Associates Sc, Herrin, IL 62948 Phone: 618-997-6800 Fax: 618-998-9124 |
Mrs. Dena L Mccormick, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 201 S 14th St, Herrin, IL 62948 Phone: 618-942-2171 Fax: 618-988-6186 |
Mrs. Kelly Jackson Johnson, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 510 Lincoln Dr, Herrin, IL 62948 Phone: 618-997-6800 Fax: 618-997-1187 |
Gretchen B Mason, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 510 Lincoln Dr, Herrin, IL 62948 Phone: 618-997-6800 Fax: 618-998-9124 |