Jacob Tyler Mccallum, DO - Medicare Radiology in Middleton, WI

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Jacob Tyler Mccallum, DO is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Middleton, Wisconsin. His current practice location is 8430 Market St Apt 118, Middleton, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (612) 328-1583.

Jacob Tyler Mccallum is licensed to practice in Wisconsin (license number 81114) 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 1194210492.

Contact Information

Jacob Tyler Mccallum, DO
8430 Market St Apt 118,
Middleton, WI 53562-4782
(612) 328-1583
Not Available

Map and Direction




Physician's Profile

Full NameJacob Tyler Mccallum
GenderMale
SpecialityRadiology - Diagnostic Radiology
Location8430 Market St Apt 118, Middleton, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1194210492
  • Provider Enumeration Date: 06/28/2018
  • Last Update Date: 07/23/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 8527302702
  • Enrollment ID: I20230714002946

Medical Identifiers

Medical identifiers for Jacob Tyler Mccallum such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194210492NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 5101024188 (Michigan)Secondary
2085R0202XRadiology - Diagnostic Radiology 81114 (Wisconsin)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. Jacob Tyler Mccallum allows following entities to bill medicare on his behalf.
Entity NameDean Health Systems Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053358846
PECOS PAC ID: 7012827983
Enrollment ID: O20031105000584
Entity NameUniversity Of Wisconsin Medical Foundation Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598784555
PECOS PAC ID: 6608785464
Enrollment ID: O20031111000435
Entity NameUniversity Of Wisconsin System Non Payroll
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346266319
PECOS PAC ID: 9133024888
Enrollment ID: O20031204001102
Entity NameGroup Health Cooperative Of South Central Wisconsin
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245260165
PECOS PAC ID: 3870489586
Enrollment ID: O20040227000306
Entity NameFort Healthcare Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417993361
PECOS PAC ID: 0840189718
Enrollment ID: O20040319001411
Entity NameMadison Radiologists S C
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871573725
PECOS PAC ID: 1951209311
Enrollment ID: O20040715001034

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. Jacob Tyler Mccallum 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
Jacob Tyler Mccallum, DO
8430 Market St Apt 118,
Middleton, WI 53562-4782

Ph: () -		Jacob Tyler Mccallum, DO
8430 Market St Apt 118,
Middleton, WI 53562-4782

Ph: (612) 328-1583

Reviews and Comments


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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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.