MARY LOUISE GALLEGOS MPT
NPI 1982914172
General Acute Care Hospital in Carroll, IA
NPI Status: Active since October 21, 2010
Contact Information
1205 W US HIGHWAY 30
SUITE A
CARROLL, IA
ZIP 51401
Phone: (712) 794-7204
Fax: (888) 746-8588
- Individual
- Female
- Years of Experience 27
- General Acute Care Hospital
- Accepts Insurance
- Accepts Medicare Approved Payment
About MARY GALLEGOS
This page provides the complete NPI Profile along with additional information for Mary Gallegos, a provider established in Carroll, Iowa with a medical specialization in General Acute Care Hospital and more than 27 years of experience. The healthcare provider is registered in the NPI registry with number 1982914172 assigned on October 2010. The practitioner's primary taxonomy code is 282N00000X with license number 05006711A (IN). The provider is registered as an individual and her NPI record was last updated 13 years ago.
- NPI
- 1982914172
- Provider Name
- MARY LOUISE GALLEGOS MPT
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1205 W US HIGHWAY 30 SUITE A CARROLL, IA 51401
- Location Phone
- (712) 794-7204
- Location Fax
- (888) 746-8588
- Mailing Address
- 1205 W US HIGHWAY 30 SUITE A CARROLL, IA 51401
- Mailing Phone
- (712) 794-7204
- Mailing Fax
- (888) 746-8588
- Medical School Name
- OTHER
- Graduation Year
- 1999
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 10-21-2010
- Last Update Date
- 06-18-2013
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
General Acute Care Hospital
- Taxonomy Code
- 282N00000X
- Type
- Hospitals
- License No.
- 05006711A
- License State
- IN
- Taxonomy Description
- An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Medica Insure Bronze $0 Copay PCP Visits - EPO
- Medica Insure Bronze Premier - EPO
- Medica Insure Bronze Share - EPO
- Medica Insure Expanded Bronze Standard - EPO
- Medica Insure Gold $0 Copay PCP Visits - EPO
- Medica Insure Gold Share - EPO
- Medica Insure Gold Standard - EPO
- Medica Insure Silver $0 Copay PCP Visits - EPO
- Medica Insure Silver Share - EPO
- Medica Insure Silver Standard - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Mary Gallegos is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
PECOS PAC ID: 2668637539
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20120626000675
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1982914172, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 68 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
CARROLL, IA 51401
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1982914172, enumerated as an "individual" on October 21, 2010.
The provider is located at 1205 W US HIGHWAY 30 SUITE A CARROLL, IA 51401 and the phone number is (712) 794-7204.
General Acute Care Hospital with taxonomy code 282N00000X.
The provider might be accepting Accepts: Medica. Please consult your insurance carrier or call the provider to verify.
