Mr Jeffrey Galloway, is a medicare enrolled "Occupational Therapist" provider in Elizabeth, Colorado. His current practice location is
2088 Woodpecker Ln, Elizabeth, Colorado. You can reach out to his office (for appointments etc.) via phone at
(601) 493-6968.
Mr Jeffrey Galloway is licensed to practice in Colorado (license number OT.0000937) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1548501075.
Healthcare Provider's Profile
Full Name | Mr Jeffrey Galloway |
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Gender | Male |
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Speciality | Occupational Therapist |
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Location | 2088 Woodpecker Ln, Elizabeth, Colorado |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1548501075
- Provider Enumeration Date: 03/07/2013
- Last Update Date: 11/01/2021
Medicare PECOS Information:
- PECOS PAC ID: 5890015119
- Enrollment ID: I20150527002030
Medical Identifiers
Medical identifiers for Mr Jeffrey Galloway such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1548501075 | NPI | - | NPPES |
85203751 | Medicaid | CO | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225X00000X | Occupational Therapist | OT.0000937 (Colorado) | 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. Mr Jeffrey Galloway allows following entities to bill medicare on his behalf.
Provider Name | Sundance Therapy Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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Provider Identifiers | NPI Number: 1033653670 PECOS PAC ID: 2163707688 Enrollment ID: O20170324001774 |
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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. Mr Jeffrey Galloway 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 |
Mr Jeffrey Galloway, 2088 Woodpecker Ln, Elizabeth, CO 80107-8558 Ph: () - | Mr Jeffrey Galloway, 2088 Woodpecker Ln, Elizabeth, CO 80107-8558 Ph: (601) 493-6968 |
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