Dr Mary Jo Miles Calebaugh, MD is a medicare enrolled "Family Medicine" physician in Pleasant Point, Maine. Her current practice location is
11 Back Rd, Pleasant Point, Maine. You can reach out to her office (for appointments etc.) via phone at
(207) 853-0644.
Dr Mary Jo Miles Calebaugh is licensed to practice in New York (license number 237412) 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 1740251172.
Physician's Profile
| Full Name | Dr Mary Jo Miles Calebaugh |
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| Gender | Female |
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| Speciality | Family Medicine |
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| Location | 11 Back Rd, Pleasant Point, Maine |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1740251172
- Provider Enumeration Date: 02/01/2006
- Last Update Date: 12/05/2012
Medicare PECOS Information:
- PECOS PAC ID: 6305850959
- Enrollment ID: I20160609000292
Medical Identifiers
Medical identifiers for Dr Mary Jo Miles Calebaugh such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1740251172 | NPI | - | NPPES |
| 02711668 | Medicaid | NY | |
| 06061121 | Other | | ECFMG |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 237412 (New York) | 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 Mary Jo Miles Calebaugh 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 |
|---|
Dr Mary Jo Miles Calebaugh, MD
11 Back Rd, Po Box 351,
Pleasant Point, ME 04667-4119
Ph: (207) 853-0644 | Dr Mary Jo Miles Calebaugh, MD
11 Back Rd,
Pleasant Point, ME 04667-4119
Ph: (207) 853-0644 |
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