Dr Michael T Callaghan, MD | |
500 S 11th Ave, Suite 101, Pocatello, ID 83201-4835 | |
(208) 239-1750 | |
(208) 239-1771 |
Full Name | Dr Michael T Callaghan |
---|---|
Gender | Male |
Speciality | Radiation Oncology |
Experience | 32 Years |
Location | 500 S 11th Ave, Pocatello, Idaho |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316978539 | NPI | - | NPPES |
805081800 | Medicaid | ID | |
J4779 | Other | ID | BLUE CROSS OF IDAHO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0001X | Radiology - Radiation Oncology | M-7264 (Idaho) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Portneuf Medical Center | Pocatello, ID | Hospital |
Nell J Redfield Memorial Hospital | Malad, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Pocatello Health Services Llc | 6608927637 | 153 |
Entity Name | Pocatello Health Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689802852 PECOS PAC ID: 6608927637 Enrollment ID: O20090701000646 |
Mailing Address | Practice Location Address |
---|---|
Dr Michael T Callaghan, MD Po Box 4908, Pocatello, ID 83205-4908 Ph: (208) 236-1600 | Dr Michael T Callaghan, MD 500 S 11th Ave, Suite 101, Pocatello, ID 83201-4835 Ph: (208) 239-1750 |
Ailee Marie Justo, Radiology Medicare: Not Enrolled in Medicare Practice Location: 921 S 8th Ave Stop 8253, Pocatello, ID 83209 Phone: 208-282-4726 | |
Michael Sparks, Radiology Medicare: Not Enrolled in Medicare Practice Location: 921 S 8th Ave Stop 8253, Pocatello, ID 83209 Phone: 208-282-4276 | |
Artur Narkiewicz-jodko, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 777 Hospital Way, Pocatello, ID 83201 Phone: 208-239-1000 | |
Dr. Allen A. Eng, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1151 Hospital Way, Bldg B, Pocatello, ID 83201 Phone: 208-233-1187 Fax: 208-233-1187 | |
Dr. Lorin C Bachman, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 777 Hospital Way, Pocatello, ID 83201 Phone: 208-239-1000 | |
Jade Forbush, RDMS Radiology Medicare: Not Enrolled in Medicare Practice Location: 1334 N Main St, Pocatello, ID 83204 Phone: 208-539-7399 Fax: 208-417-0882 | |
Dr. John H Whiting Jr., M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 444 Hospital Way, Suite 701, Pocatello, ID 83201 Phone: 208-233-7931 Fax: 208-233-0423 |