Teal Calaway, NP in Green Bay, WI - Medicare Nurse Practitioner

Teal Calaway, NP is a medicare enrolled "Nurse Practitioner - Family" in Green Bay, Wisconsin. Her current practice location is 2960 Allied St, Green Bay, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 315-9266.

Teal Calaway is licensed to practice in Wisconsin (license number 11821-33) 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 1144979519.

Contact Information

	Teal Calaway, NP
	2960 Allied St, Green Bay, WI 54304-5541
	(920) 315-9266
	Not Available

Map and Direction

Provider's Profile

Full Name	Teal Calaway
Gender	Female
Speciality	Nurse Practitioner - Family
Location	2960 Allied St, Green Bay, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144979519
Provider Enumeration Date: 03/22/2022
Last Update Date: 03/22/2022

Medicare PECOS Information:

PECOS PAC ID: 5890153894
Enrollment ID: I20230623001318

Medical Identifiers

Medical identifiers for Teal Calaway such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144979519	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	11821-33 (Wisconsin)	Primary

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. Teal Calaway allows following entities to bill medicare on her behalf.

Entity Name	Sequoia Integrative Medical Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790312171 PECOS PAC ID: 8527480250 Enrollment ID: O20200625000133

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. Teal Calaway 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
Teal Calaway, NP 3200 Alfa Romeo Rd, Green Bay, WI 54313-9215 Ph: (920) 255-3369	Teal Calaway, NP 2960 Allied St, Green Bay, WI 54304-5541 Ph: (920) 315-9266

Reviews and Comments

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Teal Calaway, NP - Medicare Nurse Practitioner in Green Bay, WI