Mr Eugene Wynn Kallay, MD in Waycross, GA

Mr Eugene Wynn Kallay, MD is a medicare enrolled "Pediatrics" physician in Waycross, Georgia. His current practice location is 1701 Boulevard Sq, D, Waycross, Georgia. You can reach out to his office (for appointments etc.) via phone at (912) 387-0445.

Mr Eugene Wynn Kallay is licensed to practice in Georgia (license number 027395) 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 1063595973.

Contact Information

	Mr Eugene Wynn Kallay, MD
	1701 Boulevard Sq, D, Waycross, GA 31501-8021
	(912) 387-0445
	(912) 226-3513

Map and Direction

Physician's Profile

Full Name	Mr Eugene Wynn Kallay
Gender	Male
Speciality	Pediatrics
Location	1701 Boulevard Sq, Waycross, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063595973
Provider Enumeration Date: 10/23/2006
Last Update Date: 11/17/2014

Medicare PECOS Information:

PECOS PAC ID: 9931410719
Enrollment ID: I20150619001483

Medical Identifiers

Medical identifiers for Mr Eugene Wynn Kallay such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063595973	NPI	-	NPPES
000311638I	Medicaid	GA
000311638C	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	027395 (Georgia)	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. Mr Eugene Wynn Kallay allows following entities to bill medicare on his behalf.

Entity Name	Southeast Georgia Pediatrics
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457613192 PECOS PAC ID: 6406167212 Enrollment ID: O20150622000072

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. Mr Eugene Wynn Kallay 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
Mr Eugene Wynn Kallay, MD 1701 Boulevard Sq, D, Waycross, GA 31501-8021 Ph: (912) 387-0445	Mr Eugene Wynn Kallay, MD 1701 Boulevard Sq, D, Waycross, GA 31501-8021 Ph: (912) 387-0445

Reviews and Comments

Pediatrics Doctors in Waycross, GA

David H Cheatham, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 801 Beacon St, Waycross, GA 31501 Phone: 912-285-2440 Fax: 912-287-0197
Mrs. Dannette Kallay, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1701 Boulevard Sq Ste D, Waycross, GA 31501 Phone: 912-387-0445 Fax: 912-226-3513
Iveta Berzinch, M.D., P.C. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1704 Boulevard Sq Ste B, Waycross, GA 31501 Phone: 912-285-8866 Fax: 912-285-8881

Mr Eugene Wynn Kallay, MD - Medicare Pediatrics in Waycross, GA