Mary Callis, MD in Keshena, WI - Medicare Emergency Medicine

Mary Callis, MD is a medicare enrolled "Family Medicine" physician in Keshena, Wisconsin. She went to University Of Utah School Of Medicine and graduated in 2008 and has 16 years of diverse experience with area of expertise as Emergency Medicine. She is a member of the group practice Belvidere Emergency Physicians, Llc and her current practice location is W3275 Wolf River Road, Menominee Tribal Clinic, Keshena, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (715) 799-3361.

Mary Callis is licensed to practice in Wisconsin (license number 56810-020) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1730334020.

Contact Information

	Mary Callis, MD
	W3275 Wolf River Road, Menominee Tribal Clinic, Keshena, WI 54135-0970
	(715) 799-3361
	(715) 799-3099

Map and Direction

Physician's Profile

Full Name	Mary Callis
Gender	Female
Speciality	Emergency Medicine
Experience	16 Years
Location	W3275 Wolf River Road, Keshena, Wisconsin
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mary Callis attended and graduated from University Of Utah School Of Medicine in 2008

NPI Data:

NPI Number: 1730334020
Provider Enumeration Date: 12/01/2008
Last Update Date: 09/28/2012

Medicare PECOS Information:

PECOS PAC ID: 8820258593
Enrollment ID: I20190426000000

Medical Identifiers

Medical identifiers for Mary Callis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730334020	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	56810-020 (Wisconsin)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Swedish American Hospital	Rockford, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Belvidere Emergency Physicians, Llc	1254794415	19

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. Mary Callis allows following entities to bill medicare on her behalf.

Entity Name	Midwest Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952409765 PECOS PAC ID: 5698771848 Enrollment ID: O20070301000010

Entity Name	Sound Physicians Emergency Medicine Of Illinois Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184232621 PECOS PAC ID: 6800215146 Enrollment ID: O20201006000945

Entity Name	Rockford Emergency Physicians, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639876634 PECOS PAC ID: 4385007640 Enrollment ID: O20230905000499

Entity Name	Belvidere Emergency Physicians, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306543319 PECOS PAC ID: 1254794415 Enrollment ID: O20230906000737

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. Mary Callis 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
Mary Callis, MD Po Box 970, Menominee Tribal Clinic, Keshena, WI 54135-0970 Ph: (715) 799-3361	Mary Callis, MD W3275 Wolf River Road, Menominee Tribal Clinic, Keshena, WI 54135-0970 Ph: (715) 799-3361

Reviews and Comments

Family Medicine Doctors in Keshena, WI

Peter C. Keenan, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: W3275 Wolf River Road, Keshena, WI 54135 Phone: 715-799-3361 Fax: 715-799-3099
Heather Marie Nennig, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: W3275 Wolf River Dr, Keshena, WI 54135 Phone: 715-799-3361 Fax: 715-799-3099
Alexandra Wolf, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: W3275 Wolf River Rd, Keshena, WI 54135 Phone: 715-799-3361 Fax: 715-799-5854
Amy J. Slagle, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: W3275 Wolf River Road, Keshena, WI 54135 Phone: 715-799-3361 Fax: 715-799-3099
Beth L Gillis, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: W3275 Wolf River Dr, Keshena, WI 54135 Phone: 715-799-3361 Fax: 715-799-1326
Shannon B Daun, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: W3275 Wolf River Road, Keshena, WI 54135 Phone: 715-799-3361 Fax: 715-799-3099
Estelle Ostgard, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: W3275 Wolf River Road, Menominee Tribal Clinic, Keshena, WI 54135 Phone: 715-799-3361 Fax: 715-799-3099

Mary Callis, MD - Medicare Emergency Medicine in Keshena, WI