| Brian D Callahan, | |
|
480 State Route 28, Suite 1, Boiceville, NY 12412-2820 | |
| (845) 657-7820 | |
| (845) 657-6016 |
| Full Name | Brian D Callahan |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 21 Years |
| Location | 480 State Route 28, Boiceville, New York |
| 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 |
|---|---|---|---|
| 1932153301 | NPI | - | NPPES |
| 01927462 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | F330832 (New York) | Primary |
| 363LF0000X | Nurse Practitioner - Family | F330832 (New York) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Willcare Chha (newburgh) | Newburgh, NY | Home health agency |
| Margaretville Memorial Hospital | Margaretville, NY | Hospital |
| Healthalliance Hospital Marys Avenue Campus | Kingston, NY | Hospital |
| Vassar Brothers Medical Center | Poughkeepsie, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Medical Associates Of The Hudson Valley | 2860384674 | 24 |
| Entity Name | Medical Associates Of The Hudson Valley |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700966801 PECOS PAC ID: 2860384674 Enrollment ID: O20040326000705 |
| Entity Name | Westchester Medical Center Advanced Physician Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912131392 PECOS PAC ID: 3173660776 Enrollment ID: O20091031000042 |
| Entity Name | Physicians Medical Associates New York Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073386421 PECOS PAC ID: 7618310368 Enrollment ID: O20240209000066 |
| Mailing Address | Practice Location Address |
|---|---|
| Brian D Callahan, 480 State Route 28, Suite 1, Boiceville, NY 12412-2820 Ph: (845) 657-7820 | Brian D Callahan, 480 State Route 28, Suite 1, Boiceville, NY 12412-2820 Ph: (845) 657-7820 |