Jodie D Callison, DMD is a medicare enrolled "Dentist - General Practice" provider in Marsing, Idaho. Her current practice location is
201 Main, Marsing, Idaho. You can reach out to her office (for appointments etc.) via phone at
(208) 896-4159.
Jodie D Callison is licensed to practice in Idaho (license number D-5146) 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 1508480575.
Healthcare Provider's Profile
Full Name | Jodie D Callison |
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Gender | Female |
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Speciality | Dentist - General Practice |
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Location | 201 Main, Marsing, Idaho |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1508480575
- Provider Enumeration Date: 06/04/2020
- Last Update Date: 06/04/2020
Medicare PECOS Information:
- PECOS PAC ID: 7416371844
- Enrollment ID: I20200720000206
Medical Identifiers
Medical identifiers for Jodie D Callison such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1508480575 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | D-5146 (Idaho) | 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. Jodie D Callison 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 |
Jodie D Callison, DMD Po Box 9, Nampa, ID 83653-0009 Ph: (208) 461-7149 | Jodie D Callison, DMD 201 Main, Marsing, ID 83639 Ph: (208) 896-4159 |
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