| Theresa G Mccallie, MD | |
|
101 Hospital Drive, Magnolia, AR 71753 | |
| (870) 235-3210 | |
| (870) 235-3211 |
| Full Name | Theresa G Mccallie |
|---|---|
| Gender | Female |
| Speciality | General Surgery |
| Experience | 22 Years |
| Location | 101 Hospital Drive, Magnolia, Arkansas |
| 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 |
|---|---|---|---|
| 1285755256 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | E5171 (Arkansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Bernards Medical Center | Jonesboro, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Bernards Physician Clinics Inc | 7012311269 | 182 |
| Entity Name | St Bernards Physician Clinics Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447923438 PECOS PAC ID: 7012311269 Enrollment ID: O20210810001875 |
| Mailing Address | Practice Location Address |
|---|---|
| Theresa G Mccallie, MD Po Box 629, Magnolia, AR 71754 Ph: (870) 235-3210 | Theresa G Mccallie, MD 101 Hospital Drive, Magnolia, AR 71753 Ph: (870) 235-3210 |
Moises A Menendez, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 101 Hosptial Drive, Magnolia, AR 71753 Phone: 870-235-3600 | |
Dr. Jose U Zamora Ii, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2013 Karen Cir, Magnolia, AR 71753 Phone: 760-840-1837 | |
Lawson P Mcnary Jr., MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 101 Hospital Drive, Magnolia, AR 71753 Phone: 870-235-3210 Fax: 870-235-3211 |