| Mrs Kammie Marie Caldwell, MD | |
|
2109 S Highway 69, Wagoner, OK 74467-9310 | |
| (918) 485-6069 | |
| (888) 815-0475 |
| Full Name | Mrs Kammie Marie Caldwell |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 24 Years |
| Location | 2109 S Highway 69, Wagoner, Oklahoma |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780663575 | NPI | - | NPPES |
| 200049030B | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 24211 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Encompass Health Home Health Of Eastern Oklahoma | Muskogee, OK | Home health agency |
| Wagoner Community Hospital | Wagoner, OK | Hospital |
| Northeastern Health System | Tahlequah, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Total Health And Wellness Llc | 1850741299 | 4 |
| Caldwell Medical Group, Pllc | 2860441300 | 2 |
| Musuma Health Care And Medical Spa, Pllc | 7810309952 | 2 |
| Entity Name | Caldwell Medical Group, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760700371 PECOS PAC ID: 2860441300 Enrollment ID: O20050121000515 |
| Entity Name | Musuma Health Care And Medical Spa, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437799822 PECOS PAC ID: 7810309952 Enrollment ID: O20201215002014 |
| Entity Name | Diversity Health And Wellness |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790418283 PECOS PAC ID: 6709255714 Enrollment ID: O20221214002514 |
| Entity Name | Total Health & Wellness Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487433678 PECOS PAC ID: 1850741299 Enrollment ID: O20231227000804 |
| Entity Name | Global Open Wound Care Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932987864 PECOS PAC ID: 3375999386 Enrollment ID: O20240515002385 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Kammie Marie Caldwell, MD 1202 W Cherokee St Ste D, Wagoner, OK 74467-4629 Ph: (918) 485-2104 | Mrs Kammie Marie Caldwell, MD 2109 S Highway 69, Wagoner, OK 74467-9310 Ph: (918) 485-6069 |
Dr. Chelsea C Mcgee, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1202 W Cherokee St, Suite B, Wagoner, OK 74467 Phone: 918-485-1326 Fax: 918-512-4021 | |
Dr. Leon Jay Yoder, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1202 W Cherokee St Ste C, Wagoner, OK 74467 Phone: 918-485-1205 Fax: 918-485-1695 | |
Dr. Gitanjali Pai, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1202 W Cherokee St Ste D, Wagoner, OK 74467 Phone: 918-485-1205 Fax: 918-485-1695 | |
Kelly Van Davis, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1202 W Cherokee St Ste H, Wagoner, OK 74467 Phone: 918-614-5533 Fax: 918-485-6020 |