Jonathan Knight Kallevang, DO is a medicare enrolled "Orthopaedic Surgery" physician in Agana Heights, Guam. His current practice location is
Bldg #50, Farenholt Ave, Agana Heights, Guam. You can reach out to his office (for appointments etc.) via phone at
(671) 344-9222.
Jonathan Knight Kallevang is licensed to practice in Virginia (license number 0102205854) 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 1992200422.
Physician's Profile
Full Name | Jonathan Knight Kallevang |
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Gender | Male |
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Speciality | Orthopaedic Surgery |
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Location | Bldg #50, Farenholt Ave, Agana Heights, Guam |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1992200422
- Provider Enumeration Date: 03/27/2018
- Last Update Date: 07/28/2023
Medicare PECOS Information:
- PECOS PAC ID: 4688035033
- Enrollment ID: I20230801002627
Medical Identifiers
Medical identifiers for Jonathan Knight Kallevang such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1992200422 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207X00000X | Orthopaedic Surgery | 0102205854 (Virginia) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
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. Jonathan Knight Kallevang 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 |
Jonathan Knight Kallevang, DO Psc 455 Box 208, Fpo, AP 96540-0003 Ph: (671) 344-9222 | Jonathan Knight Kallevang, DO Bldg #50, Farenholt Ave, Agana Heights, GU 96910 Ph: (671) 344-9222 |
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