Dr Rachel Nicole Calloway, DDS is a medicare enrolled "Student In An Organized Health Care Education/training Program" provider in Charlotte, North Carolina. Her current practice location is
1000 Blythe Blvd, Charlotte, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(704) 355-2165.
Dr Rachel Nicole Calloway is licensed to practice in * (Not Available) (license number ) 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 1588369813.
Healthcare Provider's Profile
| Full Name | Dr Rachel Nicole Calloway |
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| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 1000 Blythe Blvd, Charlotte, North Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1588369813
- Provider Enumeration Date: 04/04/2023
- Last Update Date: 06/19/2025
Medicare PECOS Information:
- PECOS PAC ID: 7416301700
- Enrollment ID: I20230920001304
Medical Identifiers
Medical identifiers for Dr Rachel Nicole Calloway such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1588369813 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 13245 (North Carolina) | Secondary |
| 1223G0001X | Dentist - General Practice | 13245 (North Carolina) | Secondary |
| 125Q00000X | Oral Medicinist | 13245 (North Carolina) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Dr Rachel Nicole Calloway 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 Rachel Nicole Calloway, DDS
708 Wandering Way Dr,
Waxhaw, NC 28173-7021
Ph: (704) 516-1015 | Dr Rachel Nicole Calloway, DDS
1000 Blythe Blvd,
Charlotte, NC 28203-5812
Ph: (704) 355-2165 |
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