Mia Danielle Galloway, SLP in Suwanee, GA - Medicare Speech-Language Pathologist Provider

Mia Danielle Galloway, SLP is a medicare enrolled "Speech-language Pathologist" provider in Suwanee, Georgia. Her current practice location is 4315 Johns Creek Pkwy, Suwanee, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 692-0630.

Mia Danielle Galloway is licensed to practice in Georgia (license number SLP006193) 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 1770844755.

Contact Information

	Mia Danielle Galloway, SLP
	4315 Johns Creek Pkwy, Suwanee, GA 30024-6048
	(770) 692-0630
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mia Danielle Galloway
Gender	Female
Speciality	Speech-language Pathologist
Location	4315 Johns Creek Pkwy, Suwanee, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770844755
Provider Enumeration Date: 06/06/2012
Last Update Date: 07/19/2023

Medicare PECOS Information:

PECOS PAC ID: 7113170788
Enrollment ID: I20130109000687

Medical Identifiers

Medical identifiers for Mia Danielle Galloway such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770844755	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	SLP006193 (Georgia)	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. Mia Danielle Galloway allows following entities to bill medicare on her behalf.

Provider Name	Aegis Group Practice Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1881142750 PECOS PAC ID: 5193036432 Enrollment ID: O20150916001644

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. Mia Danielle 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
Mia Danielle Galloway, SLP 2167 Rock Creek Park, Decatur, GA 30033-3349 Ph: (770) 265-7008	Mia Danielle Galloway, SLP 4315 Johns Creek Pkwy, Suwanee, GA 30024-6048 Ph: (770) 692-0630

Reviews and Comments

Speech-Language Pathologist in Suwanee, GA

Colleen Johnson Chambers, MS CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3577 Castle View Ct, Suwanee, GA 30024 Phone: 678-482-8946
Sabina Abjani, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6190 Stables Walk, Suwanee, GA 30024 Phone: 678-333-8784
Ms. Stacy Gayle Bura, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5050 Research Court, Ste. 800, Suwanee, GA 30024 Phone: 770-205-5551
Elizabeth Grace Childers, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4055 Johns Creek Pkwy Ste A, Suwanee, GA 30024 Phone: 770-888-5221 Fax: 678-680-5929
Kathleen Brunner, M.ED.CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3905 Johns Creek Ct, Suite 250, Suwanee, GA 30024 Phone: 770-888-5221 Fax: 770-623-5544
Ms. Emily Anne Oliverius, M.S.CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4055 Johns Creek Pkwy Ste A, Suwanee, GA 30024 Phone: 770-888-5221
Cynthia S Green, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1015 Pebble Creek Trl, Suwanee, GA 30024 Phone: 678-429-0313

Mia Danielle Galloway, SLP - Medicare Speech-Language Pathologist in Suwanee, GA