Ms Amber Allysen Gally, PA-C in Anaheim, CA - Medicare Physician Assistant

Ms Amber Allysen Gally, PA-C is a medicare enrolled "Physician Assistant" in Anaheim, California. Her current practice location is 801 E Katella Ave, Anaheim, California. You can reach out to her office (for appointments etc.) via phone at (714) 633-6373.

Ms Amber Allysen Gally is licensed to practice in California (license number 22593) 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 1023369956.

Contact Information

	Ms Amber Allysen Gally, PA-C
	801 E Katella Ave, Anaheim, CA 92805-6614
	(714) 633-6373
	Not Available

Provider's Profile

Full Name	Ms Amber Allysen Gally
Gender	Female
Speciality	Physician Assistant
Location	801 E Katella Ave, Anaheim, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023369956
Provider Enumeration Date: 10/02/2012
Last Update Date: 07/20/2022

Medicare PECOS Information:

PECOS PAC ID: 8224254115
Enrollment ID: I20140730000688

Medical Identifiers

Medical identifiers for Ms Amber Allysen Gally such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023369956	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	22593 (California)	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. Ms Amber Allysen Gally 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 Address	Practice Location Address
Ms Amber Allysen Gally, PA-C 801 E Katella Ave, Anaheim, CA 92805-6614 Ph: (714) 633-6373	Ms Amber Allysen Gally, PA-C 801 E Katella Ave, Anaheim, CA 92805-6614 Ph: (714) 633-6373

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Ms Amber Allysen Gally, PA-C - Medicare Physician Assistant in Anaheim, CA