Dr Jack Edward Mccallum, MD is a
Neurological Surgery physician based in Benbrook, Texas. Dr Jack Edward Mccallum is licensed to practice in Texas (license number E9301) and his current practice location is 1 Stevens Dr, Benbrook, Texas. He can be reached at his office (for appointments etc.) via phone at
(817) 249-8812.
NPI number for Dr Jack Edward Mccallum is 1841367307 and his current mailing address is 1 Stevens Dr, Benbrook, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1841367307.
Physician's Profile
| Full Name | Dr Jack Edward Mccallum |
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| Gender | Male |
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| Speciality | Neurological Surgery |
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| Location | 1 Stevens Dr, Benbrook, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1841367307
- Provider Enumeration Date: 11/29/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Jack Edward Mccallum such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1841367307 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207T00000X | Neurological Surgery | E9301 (Texas) | 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. Dr Jack Edward Mccallum is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Jack Edward Mccallum, MD
1 Stevens Dr,
Benbrook, TX 76126-4407
Ph: (817) 249-8812 | Dr Jack Edward Mccallum, MD
1 Stevens Dr,
Benbrook, TX 76126-4407
Ph: (817) 249-8812 |
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