Gliceida M Galarza Fortuna, MD - Medicare Internal Medicine in Salt Lake City, UT

Gliceida M Galarza Fortuna, MD is a medicare enrolled "Internal Medicine - Hematology & Oncology" physician in Salt Lake City, Utah. Her current practice location is 30 N 1900 E Rm 5c402, Salt Lake City, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 585-0120.

Gliceida M Galarza Fortuna is licensed to practice in Utah (license number 12808704-1205) 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 1518458512.

Contact Information

Gliceida M Galarza Fortuna, MD
30 N 1900 E Rm 5c402,
Salt Lake City, UT 84132-0002
(801) 585-0120
Not Available



Physician's Profile

Full NameGliceida M Galarza Fortuna
GenderFemale
SpecialityInternal Medicine - Hematology & Oncology
Location30 N 1900 E Rm 5c402, Salt Lake City, Utah
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1518458512
  • Provider Enumeration Date: 05/24/2018
  • Last Update Date: 04/20/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 7012304769
  • Enrollment ID: I20220427000982

Medical Identifiers

Medical identifiers for Gliceida M Galarza Fortuna such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1518458512NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RH0003XInternal Medicine - Hematology & Oncology 12808704-1205 (Utah)Primary

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. Gliceida M Galarza Fortuna 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
Gliceida M Galarza Fortuna, MD
30 N 1900 E Rm 5c402,
Salt Lake City, UT 84132-0002

Ph: (801) 585-0120
Gliceida M Galarza Fortuna, MD
30 N 1900 E Rm 5c402,
Salt Lake City, UT 84132-0002

Ph: (801) 585-0120

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Internal Medicine Doctors in Salt Lake City, UT

Dr. Mehmet Akkaya, M.D
Hematology & Oncology
Medicare: Medicare Enrolled
Practice Location: University Of Utah Hospital Cardiology, 3o N,1900 E, Rm:4a100, Salt Lake City, UT 84132
Phone: 801-505-1689    
Dr. Willard Dere, M.D.
Hematology & Oncology
Medicare: Not Enrolled in Medicare
Practice Location: 500 Foothill Blvd, Salt Lake City, UT 84148
Phone: 801-582-1565    
Megan Meier, MD
Hematology & Oncology
Medicare: Medicare Enrolled
Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132
Phone: 801-581-2121    
Joel Money, MD
Hematology & Oncology
Medicare: Medicare Enrolled
Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132
Phone: 801-581-2121    
Mchale O. Anderson, MD
Hematology & Oncology
Medicare: Medicare Enrolled
Practice Location: 30 N 1900 E Rm 4a100, Salt Lake City, UT 84132
Phone: 801-587-2451    
Siddharth K. Iyengar, MD
Hematology & Oncology
Medicare: Medicare Enrolled
Practice Location: 30 N 1900 E Rm 4c116, Salt Lake City, UT 84132
Phone: 801-581-7606    
Taryn A. Young, MD
Hematology & Oncology
Medicare: Medicare Enrolled
Practice Location: 5121 S Cottonwood St, Salt Lake City, UT 84107
Phone: 801-507-4384    Fax: 801-507-4398

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