Jennifer Sharon Callis, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Washington Boro, Pennsylvania. Her current practice location is
191 Carol Dr, Washington Boro, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(717) 462-2339.
Jennifer Sharon Callis is licensed to practice in Pennsylvania (license number SP026382) 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 1477277374.
Provider's Profile
Full Name | Jennifer Sharon Callis |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 191 Carol Dr, Washington Boro, Pennsylvania |
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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: 1477277374
- Provider Enumeration Date: 10/04/2022
- Last Update Date: 10/04/2022
Medicare PECOS Information:
- PECOS PAC ID: 2567833825
- Enrollment ID: I20230124001986
Medical Identifiers
Medical identifiers for Jennifer Sharon Callis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1477277374 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | SP026382 (Pennsylvania) | 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. Jennifer Sharon Callis 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 |
Jennifer Sharon Callis, CRNP 191 Carol Dr, Washington Boro, PA 17582-9747 Ph: (717) 462-2339 | Jennifer Sharon Callis, CRNP 191 Carol Dr, Washington Boro, PA 17582-9747 Ph: (717) 462-2339 |
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