| Anthony Jay Callisto, MD | |
|
700 S Park St, Madison, WI 53715-1830 | |
| (608) 251-6100 | |
| (608) 826-2710 |
| Full Name | Anthony Jay Callisto |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 22 Years |
| Location | 700 S Park St, Madison, Wisconsin |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750424115 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 01060968A (Indiana) | Secondary |
| 207P00000X | Emergency Medicine | 50465-20 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Overlake Hospital Medical Center | Bellevue, WA | Hospital |
| Snoqualmie Valley Hospital | Snoqualmie, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Puget Sound Physicians Pllc | 2961301882 | 25 |
| Public Hospital District No 4 King County Washington | 6002700861 | 74 |
| Overlake Medical Clinics Llc | 7012808827 | 380 |
| Entity Name | Puget Sound Physicians Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801900501 PECOS PAC ID: 2961301882 Enrollment ID: O20040108000594 |
| Entity Name | Public Hospital District No 4 King County Washington |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902846546 PECOS PAC ID: 6002700861 Enrollment ID: O20040211001236 |
| Entity Name | Overlake Medical Clinics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801828421 PECOS PAC ID: 7012808827 Enrollment ID: O20040322001533 |
| Mailing Address | Practice Location Address |
|---|---|
| Anthony Jay Callisto, MD 700 S Park St, Madison, WI 53715-1830 Ph: (608) 251-6100 | Anthony Jay Callisto, MD 700 S Park St, Madison, WI 53715-1830 Ph: (608) 251-6100 |
Kendra L Fabian, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 600 Highland Ave, Madison, WI 53792 Phone: 608-262-2398 | |
Colleen Maura Andrews, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 Highland Ave, Madison, WI 53792 Phone: 608-262-2398 | |
Michael K Abernethy, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 Highland Ave, Madison, WI 53792 Phone: 608-262-2398 Fax: 608-262-9999 | |
Kip A Kircher, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 700 S Park St Ste A404, Madison, WI 53715 Phone: 608-258-6504 | |
Elana Ann Grier, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 S Park St, Madison, WI 53715 Phone: 352-455-5888 | |
Dr. Joseph David Hansen, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 700 S Park St, Madison, WI 53715 Phone: 800-680-4369 | |
Natalie Justine Tedford, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 600 Highland Ave, Madison, WI 53792 Phone: 608-262-2398 |