Patricia M Callahan, MD | |
2701 E Enterprise Ave, Appleton, WI 54913-7729 | |
(920) 831-5050 | |
Not Available |
Full Name | Patricia M Callahan |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 2701 E Enterprise Ave, Appleton, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023010543 | NPI | - | NPPES |
4657480 | Medicaid | MI | |
4514404 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 4301081153 (Michigan) | Secondary |
208000000X | Pediatrics | 52382 (Wisconsin) | Primary |
Entity Name | Oneida Nation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740278308 PECOS PAC ID: 6800794074 Enrollment ID: O20031224000077 |
Mailing Address | Practice Location Address |
---|---|
Patricia M Callahan, MD Po Box 8003, Appleton, WI 54912-8003 Ph: (920) 996-3200 | Patricia M Callahan, MD 2701 E Enterprise Ave, Appleton, WI 54913-7729 Ph: (920) 831-5050 |
Dr. Kimberly J Seeger Langlais, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2575 E Evergreen Drive, Appleton, WI 54913 Phone: 920-969-5353 Fax: 414-337-7201 | |
Andre Krainik, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2701 E Enterprise Ave, Appleton, WI 54913 Phone: 920-954-2551 | |
Pankaj Jain, Pediatrics Medicare: Medicare Enrolled Practice Location: 1506 S Oneida St, Appleton, WI 54915 Phone: 920-730-7670 | |
Wayne J Rusin, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1506 S Oneida St, Appleton, WI 54915 Phone: 920-730-4950 | |
Ashley Preston, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1506 S Oneida St, Appleton, WI 54915 Phone: 920-730-4950 | |
Sharon Rink, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2701 E Enterprise Ave, Appleton, WI 54913 Phone: 920-954-2551 |