| Tracey Gallegos, CCC-SLP/A | |
|
420 Ashley Ln, Corrales, NM 87048-8940 | |
| (505) 898-2474 | |
| Not Available |
| Full Name | Tracey Gallegos |
|---|---|
| Gender | Female |
| Speciality | Qualified Audiologist |
| Experience | 10 Years |
| Location | 420 Ashley Ln, Corrales, New Mexico |
| 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 |
|---|---|---|---|
| 1033342597 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | C-4603 (New Mexico) | Secondary |
| 231H00000X | Audiologist | 6126 (New Mexico) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wendy Gallegos, M.a. Llc | 5193992139 | 3 |
| Provider Name | Wendy Gallegos, M.A. LLC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1841567310 PECOS PAC ID: 5193992139 Enrollment ID: O20120117000055 |
| Mailing Address | Practice Location Address |
|---|---|
| Tracey Gallegos, CCC-SLP/A 194 Calle Vista Grande, Bernalillo, NM 87004-6066 Ph: (505) 918-0700 | Tracey Gallegos, CCC-SLP/A 420 Ashley Ln, Corrales, NM 87048-8940 Ph: (505) 898-2474 |
Susan Allshouse, Audiologist Medicare: Accepting Medicare Assignments Practice Location: 3949 Corrales Rd Ste 210, Corrales, NM 87048 Phone: 058-982-4745 |
Wendy Joan Gallegos, M.A. CCC-A Audiologist Medicare: Accepting Medicare Assignments Practice Location: 3949 Corrales Rd, Ste 210, Corrales, NM 87048 Phone: 505-898-2474 Fax: 505-899-8172 |
Wendy Gallegos, M.a. Llc Audiologist Medicare: Medicare Enrolled Practice Location: 420 Ashley Ln, Corrales, NM 87048 Phone: 505-898-2474 Fax: 505-899-8172 |