Callie R Hubbard, APRN-BC is a medicare enrolled "Nurse Practitioner - Family" in Mabank, Texas. She graduated from nursing school in 2021 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Dallas Medical Physician Group and her current practice location is
1703 S 3rd St, Mabank, Texas. You can reach out to her office (for appointments etc.) via phone at
(903) 255-7189.
Callie R Hubbard is licensed to practice in Texas (license number 1081647) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1144959008.
Provider's Profile
| Full Name | Callie R Hubbard |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 4 Years |
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| Location | 1703 S 3rd St, Mabank, Texas |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Callie R Hubbard graduated from nursing school in 2021
NPI Data:
- NPI Number: 1144959008
- Provider Enumeration Date: 06/07/2022
- Last Update Date: 09/24/2022
Medicare PECOS Information:
- PECOS PAC ID: 8224412242
- Enrollment ID: I20220825000357
Medical Identifiers
Medical identifiers for Callie R Hubbard such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1144959008 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 1081647 (Texas) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Dallas Medical Physician Group | 7517194491 | 16 |
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. Callie R Hubbard allows following entities to bill medicare on her behalf.
| Entity Name | Dallas Medical Physician Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1033551312
PECOS PAC ID: 7517194491
Enrollment ID: O20131223000191 |
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| Entity Name | Qv Urgent Care Tx Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1568098887
PECOS PAC ID: 5395176267
Enrollment ID: O20200508000781 |
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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. Callie R Hubbard 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 Address | Practice Location Address |
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Callie R Hubbard, APRN-BC
7124 State Highway 198,
Canton, TX 75103-4689
Ph: (903) 830-0228 | Callie R Hubbard, APRN-BC
1703 S 3rd St,
Mabank, TX 75147-7301
Ph: (903) 255-7189 |
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