| Abigail Priestley Mccallum, MD | |
|
2288 N Merritt Creek Loop Ste 200, Coeur D Alene, ID 83814-4992 | |
| (208) 625-3800 | |
| Not Available |
| Full Name | Abigail Priestley Mccallum |
|---|---|
| Gender | Female |
| Speciality | Neurological Surgery |
| Location | 2288 N Merritt Creek Loop Ste 200, Coeur D Alene, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982135828 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207T00000X | Neurological Surgery | M-17811 (Idaho) | Primary |
| Entity Name | Kootenai Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174661151 PECOS PAC ID: 1355792276 Enrollment ID: O20240111003252 |
| Mailing Address | Practice Location Address |
|---|---|
| Abigail Priestley Mccallum, MD 220 Abraham Flexner Way, Louisville, KY 40202-3826 Ph: () - | Abigail Priestley Mccallum, MD 2288 N Merritt Creek Loop Ste 200, Coeur D Alene, ID 83814-4992 Ph: (208) 625-3800 |
John Bradley Mcgowan, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 2236 N Merritt Creek Loop Ste 200, Coeur D Alene, ID 83814 Phone: 208-625-3800 Fax: 208-625-3801 | |
Dr. William Francis Ganz, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 2236 N Merrit Creek Loop, Suite A, Coeur D Alene, ID 83814 Phone: 208-664-5467 | |
Dr. Jeffrey J Larson, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 3320 N Grand Mill Ln, Coeur D Alene, ID 83814 Phone: 208-765-9100 Fax: 208-765-9103 | |
Michael Raber, Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 2236 N Merritt Creek Loop Ste A, Coeur D Alene, ID 83814 Phone: 208-625-3800 Fax: 208-625-3801 |