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COLLEEN L GALLIMORE PAC
NPI 1346220415
Physician Assistant - Surgical in Lawton, OK

Active since January 17, 2006PECOS EnrolledAccepts Medicare Assignment
3401 W GORE BLVD, LAWTON, OK 73505(580) 357-4339(580) 357-4423 Get Directions Write a Review

NPPES record last updated: August 1, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Colleen L Gallimore Pac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COLLEEN L GALLIMORE PAC (NPI 1346220415) is an individual surgical provider in Lawton, Oklahoma, licensed in Oklahoma (APA1505) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS, is affiliated with Comanche County Memorial Hospital, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1346220415
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameCOLLEEN L GALLIMORECredential: PAC
Location Address3401 W GORE BLVDLawton, OK 73505
Mailing AddressPo Box 785Lawton, OK 73502 · (580) 357-9984 · Fax (580) 357-3277
Phone(580) 357-4339
Fax(580) 357-4423
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateJanuary 17, 2006
Last NPPES UpdateAugust 1, 2008
✔ NPI 1346220415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in OK · APA1505
3401 W GORE BLVD, Lawton, OK 73505
Open in Google Maps ↗

Other Names 1

Former Name (1)Colleen L Wilson Pac

Other Identifiers 3

Medicaid200073860AOK
Medicare PIN245604402OK
Medicare UPINQ63423

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Medica, Mending Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Colleen L Gallimore Pac is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4284648080
PECOS Enrollment IDI20060213000632
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Comanche County Memorial Hospital

Acute Care Hospitals · Lawton, OK
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number370056
Location3401 West Gore BlvdLawton, OK 73505 · Comanche County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GABRIEL SCOTT RIVERA
Pharmacist
3401 W GORE BLVD
LAWTON, OK 73505
Comanche County (580) 355-8620
BRETT SALISBURY DO
Student in an Organized Health Care Education/Training Program
3401 W GORE BLVD
LAWTON, OK 73505
Comanche County (580) 355-8620
ARIANNA GARCIA MD
Student in an Organized Health Care Education/Training Program
3401 W GORE BLVD
LAWTON, OK 73505
Comanche County (580) 585-5545
LAWTON PATHOLOGY SERVICES, LLC
Pathology (Anatomic Pathology & Clinical Pathology)
3401 W GORE BLVD
LAWTON, OK 73505
Comanche County (580) 355-8690
DR. OKSANA I MARTSINKEVICH DO
Anesthesiology
3401 W GORE BLVD
LAWTON, OK 73505
Comanche County (580) 531-8687
CHRISTOPHER C. BENSON DO
Emergency Medicine
3401 W GORE BLVD
LAWTON, OK 73505
Comanche County (580) 585-5545
JESSE KEITH D.PH
Pharmacy (Institutional Pharmacy)
3401 W GORE BLVD
LAWTON, OK 73505
Comanche County (580) 250-5850
SOONER INPATIENT SERVICES LLC
Internal Medicine
3401 W GORE BLVD
LAWTON, OK 73505
Comanche County (954) 838-2371

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Colleen Gallimore's NPI number?

The NPI number for Colleen Gallimore is 1346220415. It was assigned to this individual provider in the NPPES registry on January 17, 2006. The provider is also known as Colleen L Wilson Pac.

Where is Colleen Gallimore located?

Colleen Gallimore practices at 3401 W Gore Blvd, Lawton, OK 73505. The listed phone number is (580) 357-4339.

What is Colleen Gallimore's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Colleen Gallimore enrolled in Medicare?

Yes. Colleen Gallimore is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Colleen Gallimore accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, Medica and Mending Health list Colleen Gallimore as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Colleen Gallimore affiliated with any hospitals?

According to CMS data, Colleen Gallimore is affiliated with Comanche County Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Colleen Gallimore was last updated on August 1, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.