Adiella Callahan, MED in Fairbanks, AK - Medicare Counselor Provider

Adiella Callahan, MED is a medicare enrolled "Counselor - Professional" provider in Fairbanks, Alaska. Her current practice location is 710 3rd Ave, Fairbanks, Alaska. You can reach out to her office (for appointments etc.) via phone at (907) 452-4222.

Adiella Callahan is licensed to practice in Alaska (license number 160419) 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 1306390448.

Contact Information

	Adiella Callahan, MED
	710 3rd Ave, Fairbanks, AK 99701-4455
	(907) 452-4222
	(907) 452-8176

Map and Direction

Healthcare Provider's Profile

Full Name	Adiella Callahan
Gender	Female
Speciality	Counselor - Professional
Location	710 3rd Ave, Fairbanks, Alaska
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1306390448
Provider Enumeration Date: 08/05/2016
Last Update Date: 05/09/2024

Medicare PECOS Information:

PECOS PAC ID: 7517307473
Enrollment ID: I20240513001567

Medical Identifiers

Medical identifiers for Adiella Callahan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306390448	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	(* (Not Available))	Secondary
101YP2500X	Counselor - Professional	160419 (Alaska)	Primary

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. Adiella Callahan allows following entities to bill medicare on her behalf.

Entity Name	Counseling Collective Of Alaska Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649974999 PECOS PAC ID: 3971943820 Enrollment ID: O20240425003711

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. Adiella Callahan 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
Adiella Callahan, MED Po Box 71248, Fairbanks, AK 99707-1248 Ph: (907) 452-4222	Adiella Callahan, MED 710 3rd Ave, Fairbanks, AK 99701-4455 Ph: (907) 452-4222

Reviews and Comments

Counselor in Fairbanks, AK

Ms. Lynn Roberta Harrison, M.ED Counselor Medicare: Not Enrolled in Medicare Practice Location: 3504 Industrial, Fairbanks, AK 99701 Phone: 907-479-8450
Mr. Robert Mitchell Rickson Jr., Counselor Medicare: Not Enrolled in Medicare Practice Location: 3830 S Cushman St, Fairbanks, AK 99701 Phone: 907-452-1575
Ms. Pauline Lian, B.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 3830 S Cushman St, Fairbanks, AK 99701 Phone: 907-452-1575 Fax: 907-455-1460
Tammy Sue Korb, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3830 S Cushman St, Fairbanks, AK 99701 Phone: 907-452-1575
Susan E Stanton, PLC Counselor Medicare: Not Enrolled in Medicare Practice Location: 480 University Ave, Fairbanks, AK 99709 Phone: 907-347-2160
John Duncan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1825 Marika Rd, Fairbanks, AK 99709 Phone: 907-474-0890 Fax: 907-474-3621
Danielle Burke, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 315 5th Ave, Fairbanks, AK 99701 Phone: 907-374-7776

Adiella Callahan, MED - Medicare Counselor in Fairbanks, AK