Dr Nicholas Callahan, MPH DMD MD is a medicare enrolled "Oral & Maxillofacial Surgery" provider in Chicago, Illinois. He went to State University Of New York Downstate Medical Center and graduated in 2013 and has 11 years of diverse experience with area of expertise as Maxillofacial Surgery. He is a member of the group practice The Board Of Trustees Of The University Of Illinois and his current practice location is
801 S Paulina St, Chicago, Illinois. You can reach out to his office (for appointments etc.) via phone at
(312) 413-2379.
Dr Nicholas Callahan is licensed to practice in Illinois (license number 036147058) 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 1083920227.
Healthcare Provider's Profile
| Full Name | Dr Nicholas Callahan |
|---|
| Gender | Male |
|---|
| Speciality | Maxillofacial Surgery |
|---|
| Experience | 11 Years |
|---|
| Location | 801 S Paulina St, Chicago, Illinois |
|---|
| Accepts Medicare Assignments | Yes. 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 Nicholas Callahan attended and graduated from State University Of New York Downstate Medical Center in 2013
NPI Data:
- NPI Number: 1083920227
- Provider Enumeration Date: 08/25/2010
- Last Update Date: 02/29/2024
Medicare PECOS Information:
- PECOS PAC ID: 7012202864
- Enrollment ID: I20181015002575
Medical Identifiers
Medical identifiers for Dr Nicholas Callahan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1083920227 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 019031599 (Illinois) | Secondary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 021102880 (Illinois) | Secondary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 036147058 (Illinois) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | 019031599 (Illinois) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | 021002880 (Illinois) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | 036147058 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| The Board Of Trustees Of The University Of Illinois | 3072422716 | 923 |
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 Nicholas Callahan allows following entities to bill medicare on his behalf.
| Entity Name | The Board Of Trustees Of The University Of Illinois |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1386863819
PECOS PAC ID: 3072422716
Enrollment ID: O20031112000158 |
|---|
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 Nicholas 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 |
|---|
Dr Nicholas Callahan, MPH DMD MD
801 S Paulina St,
Chicago, IL 60612-7210
Ph: (312) 413-2379 | Dr Nicholas Callahan, MPH DMD MD
801 S Paulina St,
Chicago, IL 60612
Ph: (312) 413-2379 |
Reviews and Comments