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Primary Practice Address
1115 E 5TH AVE
MITCHELL, SD 57301-2917 US
PECOS Enrolled

Lucio N Margallo

Internal Medicine Physician


Lucio N Margallo

Overview

Lucio N Margallo is a Internal Medicine Physician in the MITCHELL area and has over 54 years of experience. Lucio N Margallo primary office location is at 1115 E 5TH AVE and new patients are welcome to contact this healthcare provider for an appointment. We do not know where he was educated but we know that he graduated in 1970

Lucio N Margallo is affiliated with six hospitals in the MITCHELL area, including . The NPI number is 1639271034 and the information was updated approximately 11 years ago.

Lucio N Margallo is part of two medical groups, including RURAL HEALTH CARE INC.

We have not detected any Exclusions tied directly to this NPI.

Accepts Medicare Assignment: Unknown

Is sole proprietor: NO

Participates in PECOS: YES (See any PECOS details below)

Contact Information

Primary Practice Location Information
1115 E 5TH AVE
MITCHELL, SD 57301-2917 US
Phone: (605)-996-5553
Fax:
Practice Mailing Information
1115 E 5TH AVE
MITCHELL, SD 57301-2917 US
Phone: (605)-996-5553
Fax: (605)-996-1213

Practice Location Addresses: 2

License Number State
2266 SD
Type/Issuer IdentifierState
MEDICAID 6000720 SD
TAX ID 460273800 -
COMMERCIAL NUMBER ON COMP 4602738000000E -

PECOS Details:

Participates in PECOS: YES
PECOS Individual Enrollment ID: I20041213000765
PECOS Individual PAC ID: 1557328499
Eligible to order/refer Part B Clinical Laboratory and Imaging Yes
Eligible to order/refer Durable Medical Equipment (DME) Yes
Eligible to order/refer Home Health Agency (HHA) Yes
Eligible to order/refer Power Mobility Devices (PMD) Yes