Jody Carlton Callaway, MD | |
105 Skyline Dr, Russellville, AR 72801-3363 | |
(479) 968-2345 | |
(479) 890-7125 |
Full Name | Jody Carlton Callaway |
---|---|
Gender | Male |
Speciality | Obstetrics/gynecology |
Experience | 41 Years |
Location | 105 Skyline Dr, Russellville, Arkansas |
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 |
---|---|---|---|
1245296961 | NPI | - | NPPES |
113544001 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | C-6385 (Arkansas) | Secondary |
207VG0400X | Obstetrics & Gynecology - Gynecology | C-6385 (Arkansas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Marys Regional Medical Center | Russellville, AR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St Marys Physician Services Llc | 4981698032 | 63 |
Entity Name | St Marys Physician Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124084991 PECOS PAC ID: 4981698032 Enrollment ID: O20040609000759 |
Mailing Address | Practice Location Address |
---|---|
Jody Carlton Callaway, MD 105 Skyline Dr, Russellville, AR 72801-3363 Ph: (479) 968-2345 | Jody Carlton Callaway, MD 105 Skyline Dr, Russellville, AR 72801-3363 Ph: (479) 968-2345 |
Dr. Vickie Petz Kasper, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 10 Rimrock Rd, Russellville, AR 72802 Phone: 479-970-3775 | |
William Scott Sosebee, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 105 Skyline Dr, Russellville, AR 72801 Phone: 479-968-2345 Fax: 479-890-7125 | |
Cristina M Clark, Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 105 Skyline Dr, Russellville, AR 72801 Phone: 479-968-2345 Fax: 479-890-7125 | |
Dr. David Gregory Nelson, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 105 Skyline Dr, Russellville, AR 72801 Phone: 479-968-2345 Fax: 479-890-7125 | |
Donald Dunn, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 200 N Quanah Ave, Russellville, AR 72801 Phone: 479-968-1011 | |
Michael Wayne Escue, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 105 Skyline Dr, Russellville, AR 72801 Phone: 479-968-2345 Fax: 479-890-7125 |