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 | 20 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 | 24 |
Overlake Medical Clinics Llc | 7012808827 | 350 |
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 | |
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: Accepting Medicare Assignments Practice Location: 700 S Park St Ste A404, Madison, WI 53715 Phone: 608-258-6504 | |
Dr. Joseph David Hansen, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 700 S Park St, Madison, WI 53715 Phone: 800-680-4369 | |
Milton H Johnson, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 752 N High Point Rd, Madison, WI 53717 Phone: 608-824-4000 Fax: 608-824-4919 | |
Dr. Jon Dirk Van Roo, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 S Park St, Suite A404, Madison, WI 53715 Phone: 608-258-6504 | |
Dr. Aaron Kraut, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 Highland Ave, Madison, WI 53792 Phone: 608-262-2398 |