| Bert C Callahan, MD | |
|
608 W Brown St, Waupun, WI 53963-1788 | |
| (920) 324-6802 | |
| (920) 324-8428 |
| Full Name | Bert C Callahan |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 39 Years |
| Location | 608 W Brown St, Waupun, 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 |
|---|---|---|---|
| 1760573927 | NPI | - | NPPES |
| 32208900 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 29788 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Waupun Memorial Hospital | Waupun, WI | Hospital |
| St Agnes Hospital | Fond du lac, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Agnesian Healthcare Inc | 1658289624 | 360 |
| Entity Name | Agnesian Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346228541 PECOS PAC ID: 1658289624 Enrollment ID: O20031104000263 |
| Entity Name | Beaver Dam Community Hospitals Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972188555 PECOS PAC ID: 2567370539 Enrollment ID: O20040210000666 |
| Mailing Address | Practice Location Address |
|---|---|
| Bert C Callahan, MD 420 E Division St, Fond Du Lac, WI 54935-4560 Ph: (920) 926-8340 | Bert C Callahan, MD 608 W Brown St, Waupun, WI 53963-1788 Ph: (920) 324-6802 |
Eric R Nelson, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 608 W Brown St, Waupun, WI 53963 Phone: 920-324-6802 | |
Thomas W Grossman Jr., M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 608 W Brown St, Waupun, WI 53963 Phone: 920-324-6802 |