| Matthew J Maccallum, D O | |
|
333 Laidley St, Charleston, WV 25301-1614 | |
| (304) 344-0096 | |
| (304) 342-4725 |
| Full Name | Matthew J Maccallum |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 25 Years |
| Location | 333 Laidley St, Charleston, West Virginia |
| 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 |
|---|---|---|---|
| 1689718645 | NPI | - | NPPES |
| 3003403000 | Medicaid | WV | |
| MA4091223 | Other | WV | MEDICARE PTAN |
| P00426369 | Other | WV | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 1940 (West Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| West Virginia University Hospitals | Morgantown, WV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| West Virginia University Medical Corporation | 1052224565 | 1722 |
| Entity Name | West Virginia University Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275504508 PECOS PAC ID: 1052224565 Enrollment ID: O20031111000207 |
| Entity Name | Professional Anesthesia Service,inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720035827 PECOS PAC ID: 2769387190 Enrollment ID: O20031126000731 |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew J Maccallum, D O 110 Roane St, Charleston, WV 25302-2334 Ph: (304) 344-0096 | Matthew J Maccallum, D O 333 Laidley St, Charleston, WV 25301-1614 Ph: (304) 344-0096 |
Arunthathie Rajaratnam, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3508 Staunton Ave Se, Charleston, WV 25304 Phone: 304-925-4086 | |
Jane S Mcneil, CRNA Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1306 Kanawha Blvd E, Charleston, WV 25301 Phone: 304-343-4371 Fax: 304-353-0325 | |
William D Hall, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 3508 Staunton Ave Se, Charleston, WV 25304 Phone: 304-926-0427 Fax: 304-925-8075 | |
Dr. Alvin Renato Castillo, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3508 Staunton Ave Se, Charleston, WV 25304 Phone: 304-926-0427 Fax: 304-925-8075 | |
Lemwel G Delgra, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3508 Staunton Ave Se, Charleston, WV 25304 Phone: 304-925-4086 | |
Nathan M Remolona, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3508 Staunton Ave Se, Charleston, WV 25304 Phone: 304-925-4086 | |
Dr. Daniel D. Tippitt, D.O. Anesthesiology Medicare: Medicare Enrolled Practice Location: 333 Laidley St, Charleston, WV 25301 Phone: 304-344-0096 Fax: 304-342-4725 |