William Ken Mccallum, MD | |
60 Mdg/sgge, 101 Bodin Circle, Travis Afb, CA 94535-1800 | |
(707) 423-3825 | |
Not Available |
Full Name | William Ken Mccallum |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 60 Mdg/sgge, Travis Afb, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831658806 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 178163 (California) | Primary |
171000000X | Military Health Care Provider | (* (Not Available)) | Secondary |
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
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William Ken Mccallum, MD 101 Bodin Cir, Travis Afb, CA 94535-1809 Ph: () - | William Ken Mccallum, MD 60 Mdg/sgge, 101 Bodin Circle, Travis Afb, CA 94535-1800 Ph: (707) 423-3825 |
Dr. Andrew James Amack, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-3825 | |
Shea Boles, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-3000 | |
Douglas Alfar, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-3825 | |
Dr. Jay Rathod, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 60th Mdg / Sgge, 101 Bodin Circle, Travis Afb, CA 94535 Phone: 707-423-3825 | |
Alexa Marie Gingras, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-3825 | |
Roderick W Fontenette, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Bodin Cir, Central Credentialing, Travis Afb, CA 94535 Phone: 707-423-3000 | |
Carol Knight, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 954-682-3481 |