Dr Michael Lee Gallentine, MD - Medicare Urology in Evansville, IN

Dr Michael Lee Gallentine, MD is a medicare enrolled "Urology" physician in Evansville, Indiana. He went to Northwestern University Feinberg Medical School and graduated in 1996 and has 28 years of diverse experience with area of expertise as Urology. He is a member of the group practice St Marys Medical Group Llc and his current practice location is 920 S Hebron Ave, Evansville, Indiana. You can reach out to his office (for appointments etc.) via phone at (812) 473-1111.

Dr Michael Lee Gallentine is licensed to practice in Nebraska (license number 20757) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1356311583.

Contact Information

Dr Michael Lee Gallentine, MD
920 S Hebron Ave,
Evansville, IN 47714-4086
(812) 473-1111
Not Available



Physician's Profile

Full NameDr Michael Lee Gallentine
GenderMale
SpecialityUrology
Experience28 Years
Location920 S Hebron Ave, Evansville, Indiana
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Michael Lee Gallentine attended and graduated from Northwestern University Feinberg Medical School in 1996
  NPI Data:
  • NPI Number: 1356311583
  • Provider Enumeration Date: 01/23/2006
  • Last Update Date: 06/22/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 9638278880
  • Enrollment ID: I20161128000114

Medical Identifiers

Medical identifiers for Dr Michael Lee Gallentine such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356311583NPI-NPPES
100255040-00MedicaidNE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208800000XUrology 20757 (Nebraska)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ascension St Vincent EvansvilleEvansville, INHospital
Daviess Community HospitalWashington, INHospital
Ferrell Hospital Community FoundationsEldorado, ILHospital
Deaconess Hospital IncEvansville, INHospital
Memorial Hospital And Health Care CenterJasper, INHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St Marys Medical Group Llc1153493341198

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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. Dr Michael Lee Gallentine allows following entities to bill medicare on his behalf.
Entity NameSt Marys Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164852539
PECOS PAC ID: 1153493341
Enrollment ID: O20140313001275

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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. Dr Michael Lee Gallentine 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 AddressPractice Location Address
Dr Michael Lee Gallentine, MD
920 S Hebron Ave,
Evansville, IN 47714-4086

Ph: () -
Dr Michael Lee Gallentine, MD
920 S Hebron Ave,
Evansville, IN 47714-4086

Ph: (812) 473-1111

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Urology Doctors in Evansville, IN

Bruce W Romick, MD
Urology
Medicare: Medicare Enrolled
Practice Location: 920 S Hebron Ave, Evansville, IN 47714
Phone: 812-473-1111    Fax: 812-473-0911
William C Collyer, M.D.
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 421 Chestnut St, Evansville, IN 47713
Phone: 812-426-9855    Fax: 812-858-4536
Barney R Maynard, MD
Urology
Medicare: Not Enrolled in Medicare
Practice Location: 920 S Hebron Ave, Evansville, IN 47714
Phone: 812-473-1111    Fax: 812-473-0911
William C Fisher, MD
Urology
Medicare: Not Enrolled in Medicare
Practice Location: 920 S Hebron Ave, Evansville, IN 47714
Phone: 812-473-1111    Fax: 812-473-0911
Charles Robert Vincent, M.D.
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 421 Chestnut St, Evansville, IN 47713
Phone: 812-426-9855    Fax: 812-858-4536
Dr. Michael Kottwitz, M.D.
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 920 S Hebron Ave, Evansville, IN 47714
Phone: 812-473-1111    

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