Ms Callie Novosad, PA is a medicare enrolled "Physician Assistant - Medical" provider in San Antonio, Texas. Her current practice location is
15102 Jones Maltsberger Road, San Antonio, Texas. You can reach out to her office (for appointments etc.) via phone at
(210) 745-0084.
Ms Callie Novosad is licensed to practice in Texas (license number PA05399) 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 1396718144.
Healthcare Provider's Profile
Full Name | Ms Callie Novosad |
---|
Gender | Female |
---|
Speciality | Physician Assistant - Medical |
---|
Location | 15102 Jones Maltsberger Road, San Antonio, Texas |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1396718144
- Provider Enumeration Date: 02/10/2006
- Last Update Date: 04/20/2020
Medicare PECOS Information:
- PECOS PAC ID: 1456413160
- Enrollment ID: I20081215000101
Medical Identifiers
Medical identifiers for Ms Callie Novosad such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1396718144 | NPI | - | NPPES |
208326303 | Medicaid | TX | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | 1096725 (Texas) | Secondary |
363AM0700X | Physician Assistant - Medical | PA05399 (Texas) | 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. Ms Callie Novosad 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 |
Ms Callie Novosad, PA 113 Pleasant Valley Dr, Ste 210, Boerne, TX 78006-5683 Ph: (830) 267-4575 | Ms Callie Novosad, PA 15102 Jones Maltsberger Road, San Antonio, TX 78247 Ph: (210) 745-0084 |
Reviews and Comments