Patricia M Callahan, MD - Medicare Pediatrics in Appleton, WI

Patricia M Callahan, MD is a medicare enrolled "Pediatrics" physician in Appleton, Wisconsin. Her current practice location is 2701 E Enterprise Ave, Appleton, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 831-5050.

Patricia M Callahan is licensed to practice in Wisconsin (license number 52382) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1023010543.

Contact Information

Patricia M Callahan, MD
2701 E Enterprise Ave,
Appleton, WI 54913-7729
(920) 831-5050
Not Available

Map and Direction




Physician's Profile

Full NamePatricia M Callahan
GenderFemale
SpecialityPediatrics
Location2701 E Enterprise Ave, Appleton, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1023010543
  • Provider Enumeration Date: 08/15/2005
  • Last Update Date: 03/30/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 8123283512
  • Enrollment ID: I20120710000592

Medical Identifiers

Medical identifiers for Patricia M Callahan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023010543NPI-NPPES
4657480MedicaidMI
4514404MedicaidMI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 52382 (Wisconsin)Primary
208000000XPediatrics 4301081153 (Michigan)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Patricia M Callahan allows following entities to bill medicare on her behalf.
Entity NameThedacare Incorporated
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306959515
PECOS PAC ID: 1759294887
Enrollment ID: O20031106000088

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Patricia M Callahan is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Patricia M Callahan, MD
Po Box 8003,
Appleton, WI 54912-8003

Ph: (920) 996-3200
Patricia M Callahan, MD
2701 E Enterprise Ave,
Appleton, WI 54913-7729

Ph: (920) 831-5050

Reviews and Comments

Pediatrics Doctors in Appleton, WI

Andre Krainik, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2701 E Enterprise Ave, Appleton, WI 54913
Phone: 920-954-2551    
Pankaj Jain,
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1506 S Oneida St, Appleton, WI 54915
Phone: 920-730-7670    
Wayne J Rusin, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1506 S Oneida St, Appleton, WI 54915
Phone: 920-730-4950    
Sharon Rink, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2701 E Enterprise Ave, Appleton, WI 54913
Phone: 920-954-2551    
Sarah C Campbell, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1506 S. Oneida Street, Pediatrics, Appleton, WI 54915
Phone: 920-730-4950    
Scott Michael Gyorog, MD
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 3916 N Intertech Court, Appleton, WI 54913
Phone: 920-996-1046    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.