Rod W Callicott, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Fort Campbell, Kentucky. He graduated from medical school in 1998 and has 27 years of diverse experience with area of expertise as Pathology. He is a member of the group practice University Of Toledo Physicians Llc and his current practice location is
650 Joel Dr, Fort Campbell, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(270) 798-8117.
Rod W Callicott is licensed to practice in Wisconsin (license number 48422-20) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1720043771.
Physician's Profile
Full Name | Rod W Callicott |
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Gender | Male |
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Speciality | Pathology |
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Experience | 27 Years |
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Location | 650 Joel Dr, Fort Campbell, Kentucky |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Rod W Callicott graduated from medical school in 1998
NPI Data:
- NPI Number: 1720043771
- Provider Enumeration Date: 04/20/2006
- Last Update Date: 11/14/2018
Medicare PECOS Information:
- PECOS PAC ID: 5991730269
- Enrollment ID: I20080208000143
Medical Identifiers
Medical identifiers for Rod W Callicott such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1720043771 | NPI | - | NPPES |
3489700 | Medicaid | WI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207ZC0500X | Pathology - Cytopathology | 48422-20 (Wisconsin) | Secondary |
207ZP0105X | Pathology - Clinical Pathology/laboratory Medicine | 48422 (Wisconsin) | Secondary |
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 48422-20 (Wisconsin) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
University Of Toledo Physicians Llc | 8729983416 | 373 |
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. Rod W Callicott allows following entities to bill medicare on his behalf.
Entity Name | University Of Toledo Physicians Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1942296033 PECOS PAC ID: 8729983416 Enrollment ID: O20031205000019 |
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Entity Name | Blanchard Valley Pathology & Lab Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1952374977 PECOS PAC ID: 7911057369 Enrollment ID: O20090608000002 |
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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. Rod W Callicott 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 |
Rod W Callicott, MD 300 W Hospital Rd, Ddeamc 1k-13, Fort Gordon, GA 30905-5741 Ph: (706) 787-8498 | Rod W Callicott, MD 650 Joel Dr, Fort Campbell, KY 42223-5318 Ph: (270) 798-8117 |
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