| Scott J Mccallum, MD | |
|
4439 State Route 159, Ste G10, Chillicothe, OH 45601-8207 | |
| (740) 779-4300 | |
| (740) 779-4390 |
| Full Name | Scott J Mccallum |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 4439 State Route 159, Chillicothe, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184658155 | NPI | - | NPPES |
| 2126630 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 35.073335 (Ohio) | Primary |
| 208M00000X | Hospitalist | 35.073335 (Ohio) | Secondary |
| Entity Name | Pediatric Academic Association, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063419943 PECOS PAC ID: 2961306774 Enrollment ID: O20031124000198 |
| Entity Name | Adena Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235468083 PECOS PAC ID: 1153456579 Enrollment ID: O20100323001007 |
| Mailing Address | Practice Location Address |
|---|---|
| Scott J Mccallum, MD 272 Hospital Rd, Chillicothe, OH 45601-9031 Ph: (740) 779-4300 | Scott J Mccallum, MD 4439 State Route 159, Ste G10, Chillicothe, OH 45601-8207 Ph: (740) 779-4300 |
Dr. Barbara D. Ianni, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 7806 State Route 159, Chillicothe, OH 45601 Phone: 602-791-0179 | |
Alessandro L. Maranzana, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4439 State Route 159, Suite G10, Chillicothe, OH 45601 Phone: 740-779-4300 Fax: 740-779-4391 | |
Lois B Jetty, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4439 State Route 159, Ste G10, Chillicothe, OH 45601 Phone: 740-779-4300 Fax: 740-779-4390 | |
Dr. Kantima C Jane-wit, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4439 State Route 159, Suite G10, Chillicothe, OH 45601 Phone: 740-779-4300 Fax: 740-779-4391 | |
Heather M Sever, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 1264 Hospital Rd, Chillicothe, OH 45601 Phone: 740-779-6805 Fax: 740-779-9116 | |
Amy K Luckeydoo, MD Pediatrics Medicare: May Accept Medicare Assignments Practice Location: 1264 Hospital Road, Chillicothe, OH 45601 Phone: 740-779-6805 Fax: 740-779-9116 |