| Sandra E Gallagher, ARNP, CNM, DP | |
|
500 Health Blvd, Daytona Beach, FL 32114-1492 | |
| (386) 252-5858 | |
| (386) 252-4477 |
| Full Name | Sandra E Gallagher |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 500 Health Blvd, Daytona Beach, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649214875 | NPI | - | NPPES |
| 051526075 | Other | AL | BLUE CROSS |
| 051526081 | Other | AL | BLUE CROSS |
| 569100070 | Medicaid | AL | |
| 051526071 | Other | AL | BLUE CROSS |
| 051526073 | Other | AL | BLUE CROSS |
| 051526074 | Other | AL | BLUE CROSS |
| 051526080 | Other | AL | BLUE CROSS |
| 569100074 | Medicaid | AL | |
| 051526077 | Other | AL | BLUE CROSS |
| 569100063 | Medicaid | AL | |
| 569100068 | Medicaid | AL | |
| 569100071 | Medicaid | AL | |
| 051526079 | Other | AL | BLUE CROSS |
| 569100062 | Medicaid | AL | |
| 051526070 | Other | AL | BLUE CROSS |
| 569100064 | Medicaid | AL | |
| 569100067 | Medicaid | AL | |
| 569100069 | Medicaid | AL | |
| 569100065 | Medicaid | AL | |
| 051526078 | Other | AL | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | 285021 (North Carolina) | Primary |
| Entity Name | Sacred Heart Health System Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962453308 PECOS PAC ID: 3779491386 Enrollment ID: O20051015000049 |
| Mailing Address | Practice Location Address |
|---|---|
| Sandra E Gallagher, ARNP, CNM, DP Medical Center Blvd, Winston Salem, NC 27157-0001 Ph: (336) 716-2255 | Sandra E Gallagher, ARNP, CNM, DP 500 Health Blvd, Daytona Beach, FL 32114-1492 Ph: (386) 252-5858 |
Ms. Beth Susan Rodriguez, CNM, ARNP Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 301 Memorial Medical Pkwy, Daytona Beach, FL 32117 Phone: 407-975-0406 |