Jessica R Callisto, PA-C in Fond Du Lac, WI - Medicare Physician Assistant

Jessica R Callisto, PA-C is a medicare enrolled "Physician Assistant - Medical" in Fond Du Lac, Wisconsin. Her current practice location is 430 E Division St, Fond Du Lac, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 926-4600.

Jessica R Callisto is licensed to practice in Wisconsin (license number 3450) 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 1659554921.

Contact Information

	Jessica R Callisto, PA-C
	430 E Division St, Fond Du Lac, WI 54935-4560
	(920) 926-4600
	Not Available

Map and Direction

Provider's Profile

Full Name	Jessica R Callisto
Gender	Female
Speciality	Physician Assistant - Medical
Location	430 E Division St, Fond Du Lac, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1659554921
Provider Enumeration Date: 12/10/2007
Last Update Date: 12/01/2020

Medicare PECOS Information:

PECOS PAC ID: 2769705060
Enrollment ID: I20141217001560

Medical Identifiers

Medical identifiers for Jessica R Callisto such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659554921	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	3450 (Wisconsin)	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. Jessica R Callisto 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
Jessica R Callisto, PA-C 420 E Division St, Fond Du Lac, WI 54935-4560 Ph: (920) 926-8343	Jessica R Callisto, PA-C 430 E Division St, Fond Du Lac, WI 54935-4560 Ph: (920) 926-4600

Reviews and Comments

Physician Assistant Nurses in Fond Du Lac, WI

Mr. Joseph Jon Deboer, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 430 E Division St, Fond Du Lac, WI 54935 Phone: 920-929-2300
Mrs. Adriane Janet Leonard, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 430 E Division St, Fond Du Lac, WI 54935 Phone: 920-929-2300 Fax: 920-926-8370
Tristan Pitt, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 430 E Division St, Fond Du Lac, WI 54935 Phone: 920-929-2300
Erin C. Rottier, M.S., PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 430 E Division St, Fond Du Lac, WI 54935 Phone: 920-929-2300
Teegan R Kraus, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 889 E Johnson St, Fond Du Lac, WI 54935 Phone: 920-367-6700 Fax: 262-700-4657
Mrs. Cynthia Nicole Wittwer, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 430 E Division St, Fond Du Lac, WI 54935 Phone: 920-929-2300
Betty Xiong-thompson, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 210 Wisconsin American Dr, Fond Du Lac, WI 54937 Phone: 920-907-7000 Fax: 920-907-7162

Jessica R Callisto, PA-C - Medicare Physician Assistant in Fond Du Lac, WI