Abigail Priestley Mccallum, MD | |
2288 N Merritt Creek Loop Ste 200, Coeur D Alene, ID 83814-4992 | |
(208) 625-3800 | |
Not Available |
Full Name | Abigail Priestley Mccallum |
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Gender | Female |
Speciality | Neurological Surgery |
Location | 2288 N Merritt Creek Loop Ste 200, Coeur D Alene, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1982135828 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207T00000X | Neurological Surgery | M-17811 (Idaho) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
Entity Name | Kootenai Health Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174661151 PECOS PAC ID: 1355792276 Enrollment ID: O20240111003252 |
Mailing Address | Practice Location Address |
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Abigail Priestley Mccallum, MD 220 Abraham Flexner Way, Louisville, KY 40202-3826 Ph: () - | Abigail Priestley Mccallum, MD 2288 N Merritt Creek Loop Ste 200, Coeur D Alene, ID 83814-4992 Ph: (208) 625-3800 |
John Bradley Mcgowan, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 2236 N Merritt Creek Loop Ste A, Coeur D Alene, ID 83814 Phone: 208-625-3800 Fax: 208-625-3801 | |
Dr. William Francis Ganz, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 2236 N Merrit Creek Loop, Suite A, Coeur D Alene, ID 83814 Phone: 208-664-5467 | |
Dr. Jeffrey J Larson, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 3320 N Grand Mill Ln, Coeur D Alene, ID 83814 Phone: 208-765-9100 Fax: 208-765-9103 | |
Michael Raber, Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 2236 N Merritt Creek Loop Ste A, Coeur D Alene, ID 83814 Phone: 208-625-3800 Fax: 208-625-3801 |