Ms Gabriela Garganta Antao, is a medicare enrolled "Speech-language Pathologist" provider in Vail, Colorado. Her current practice location is
4011 Big Horn Rd # 6h, Vail, Colorado. You can reach out to her office (for appointments etc.) via phone at
(908) 720-6074.
Ms Gabriela Garganta Antao is licensed to practice in Colorado (license number 0001692) 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 1568875961.
Healthcare Provider's Profile
Full Name | Ms Gabriela Garganta Antao |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 4011 Big Horn Rd # 6h, Vail, 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: 1568875961
- Provider Enumeration Date: 06/04/2014
- Last Update Date: 12/12/2018
Medicare PECOS Information:
- PECOS PAC ID: 7810325289
- Enrollment ID: I20200318000496
Medical Identifiers
Medical identifiers for Ms Gabriela Garganta Antao such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1568875961 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 41YS00677600 (New Jersey) | Secondary |
235Z00000X | Speech-language Pathologist | 0001692 (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. Ms Gabriela Garganta Antao allows following entities to bill medicare on her behalf.
Provider Name | Gabriela Antao Slp Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1700383361 PECOS PAC ID: 4385071471 Enrollment ID: O20200302002445 |
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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. Ms Gabriela Garganta Antao 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 |
Ms Gabriela Garganta Antao, 4011 Big Horn Rd # 6h, Vail, CO 81657-4995 Ph: (908) 720-6074 | Ms Gabriela Garganta Antao, 4011 Big Horn Rd # 6h, Vail, CO 81657-4995 Ph: (908) 720-6074 |
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