Dr Paul Callaghan, PSYD is a medicare enrolled "Clinical Neuropsychologist" provider in Traverse City, Michigan. He graduated from medical school in 1993 and has 31 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Mary Free Bed Rehabilitation Hospital and his current practice location is
3537 W Front St, Ste F, Traverse City, Michigan. You can reach out to his office (for appointments etc.) via phone at
(231) 935-8900.
Dr Paul Callaghan is licensed to practice in Michigan (license number 6301007528) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1124189642.
Healthcare Provider's Profile
Full Name | Dr Paul Callaghan |
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Gender | Male |
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Speciality | Clinical Psychologist |
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Experience | 31 Years |
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Location | 3537 W Front St, Traverse City, Michigan |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Paul Callaghan graduated from medical school in 1993
NPI Data:
- NPI Number: 1124189642
- Provider Enumeration Date: 12/12/2006
- Last Update Date: 05/06/2019
Medicare PECOS Information:
- PECOS PAC ID: 5193857803
- Enrollment ID: I20100715000750
Medical Identifiers
Medical identifiers for Dr Paul Callaghan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124189642 | NPI | - | NPPES |
680B84515 | Other | MI | BLUE CROSS BLUE SHIELD |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103T00000X | Psychologist | 6301007528 (Michigan) | Secondary |
103G00000X | Clinical Neuropsychologist | 6301007528 (Michigan) | Primary |
Medical Facilities Affiliation
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. Dr Paul Callaghan allows following entities to bill medicare on his behalf.
Entity Name | Mary Free Bed Rehabilitation Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1730133463 PECOS PAC ID: 4587576541 Enrollment ID: O20040116000604 |
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Entity Name | Munson Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1336175165 PECOS PAC ID: 3072426287 Enrollment ID: O20051109000463 |
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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. Dr Paul Callaghan 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 |
Dr Paul Callaghan, PSYD 3537 W Front St, Ste F, Traverse City, MI 49684-7943 Ph: (231) 935-8900 | Dr Paul Callaghan, PSYD 3537 W Front St, Ste F, Traverse City, MI 49684-7943 Ph: (231) 935-8900 |
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