Avery Callaway, is a medicare enrolled "Physician Assistant - Medical" in Edgefield, South Carolina. Her current practice location is
158 Garrett Rd, Edgefield, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(803) 257-1733.
Avery Callaway is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1912696956.
Provider's Profile
Full Name | Avery Callaway |
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Gender | Female |
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Speciality | Physician Assistant - Medical |
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Location | 158 Garrett Rd, Edgefield, South Carolina |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1912696956
- Provider Enumeration Date: 05/04/2023
- Last Update Date: 05/04/2023
Medicare PECOS Information:
- PECOS PAC ID: 5193165157
- Enrollment ID: I20240424004134
Medical Identifiers
Medical identifiers for Avery Callaway such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1912696956 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Primary |
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. Avery Callaway 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 |
Avery Callaway, 158 Garrett Rd, Edgefield, SC 29824-2214 Ph: (803) 257-1733 | Avery Callaway, 158 Garrett Rd, Edgefield, SC 29824-2214 Ph: (803) 257-1733 |
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