Dr Douglas P Calvin, MD - Medicare Radiology in Appleton, WI

Dr Douglas P Calvin, MD is a medicare enrolled "Radiology - Radiation Oncology" physician in Appleton, Wisconsin. His current practice location is 3925 N Gateway Dr, Appleton, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 749-1171.

Dr Douglas P Calvin is licensed to practice in Mississippi (license number 13714) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1780677906.

Contact Information

Dr Douglas P Calvin, MD
3925 N Gateway Dr,
Appleton, WI 54913-7863
(920) 749-1171
(920) 749-1172

Map and Direction




Physician's Profile

Full NameDr Douglas P Calvin
GenderMale
SpecialityRadiology - Radiation Oncology
Location3925 N Gateway Dr, Appleton, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1780677906
  • Provider Enumeration Date: 08/23/2005
  • Last Update Date: 02/16/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 2466426051
  • Enrollment ID: I20150710000176

Medical Identifiers

Medical identifiers for Dr Douglas P Calvin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780677906NPI-NPPES
005570200MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 13714 (Mississippi)Secondary
2085R0001XRadiology - Radiation Oncology 13714 (Mississippi)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. Dr Douglas P Calvin allows following entities to bill medicare on his behalf.
Entity NameState Of Mississippi - University Of Mississippi Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154317527
PECOS PAC ID: 1850293036
Enrollment ID: O20090414000575
Entity NameSignify Health Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689158487
PECOS PAC ID: 3274895263
Enrollment ID: O20210323002802

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 Douglas P Calvin 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 AddressPractice Location Address
Dr Douglas P Calvin, MD
3232 N Ballard Rd Ste 200, Attn: Credentialing,
Appleton, WI 54911-8804

Ph: (920) 749-9668
Dr Douglas P Calvin, MD
3925 N Gateway Dr,
Appleton, WI 54913-7863

Ph: (920) 749-1171

Reviews and Comments


Radiology Doctors in Appleton, WI

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Stephen M. Bejvan, M.D.
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Phone: 920-739-5642    Fax: 920-968-0259
Keyvan Gharabeighlou, D.O.
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Medicare: Accepting Medicare Assignments
Practice Location: 2500 E Enterprise Ave, Unit C, Appleton, WI 54913
Phone: 920-739-5642    Fax: 920-968-0259

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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