Dr Douglas P Calvin, MD | |
3925 N Gateway Dr, Appleton, WI 54913-7863 | |
(920) 749-1171 | |
(920) 749-1172 |
Full Name | Dr Douglas P Calvin |
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Gender | Male |
Speciality | Radiology - Radiation Oncology |
Location | 3925 N Gateway Dr, Appleton, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780677906 | NPI | - | NPPES |
005570200 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 13714 (Mississippi) | Secondary |
2085R0001X | Radiology - Radiation Oncology | 13714 (Mississippi) | Primary |
Entity Name | State Of Mississippi - University Of Mississippi Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154317527 PECOS PAC ID: 1850293036 Enrollment ID: O20090414000575 |
Entity Name | Signify Health Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210323002802 |
Mailing Address | Practice Location Address |
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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 |
Stephanus J Macrander, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2500 E Enterprise Ave, Unit C, Appleton, WI 54913 Phone: 920-739-5642 Fax: 920-968-0259 | |
Sara Elizabeth Beltran Ponce, MD Radiology Medicare: Medicare Enrolled Practice Location: 1506 S Oneida St, Appleton, WI 54915 Phone: 920-831-8900 Fax: 920-831-1320 | |
Maher Salahi, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2500 E Capitol Dr, Appleton, WI 54911 Phone: 920-739-5642 | |
Kristin Knott, Radiology Medicare: Not Enrolled in Medicare Practice Location: 5471 W Waterford Ln, Appleton, WI 54913 Phone: 920-731-7445 | |
Anna Moreland, Radiology Medicare: Accepting Medicare Assignments Practice Location: 424 E Pacific St, Appleton, WI 54911 Phone: 920-475-1201 | |
Stephen M. Bejvan, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2500 E Enterprise Ave, Unit C, Appleton, WI 54913 Phone: 920-739-5642 Fax: 920-968-0259 | |
Keyvan Gharabeighlou, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2500 E Enterprise Ave, Unit C, Appleton, WI 54913 Phone: 920-739-5642 Fax: 920-968-0259 |