Dannica Callies, is a medicare enrolled "Nurse Practitioner - Family" in Lake Preston, South Dakota. Her current practice location is
709 4th St Se, Lake Preston, South Dakota. You can reach out to her office (for appointments etc.) via phone at
(605) 847-4484.
Dannica Callies is licensed to practice in South Dakota (license number CP000817) 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 1376971770.
Provider's Profile
| Full Name | Dannica Callies |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 709 4th St Se, Lake Preston, South Dakota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1376971770
- Provider Enumeration Date: 10/22/2013
- Last Update Date: 10/22/2013
Medicare PECOS Information:
- PECOS PAC ID: 9436387578
- Enrollment ID: I20140116001026
Medical Identifiers
Medical identifiers for Dannica Callies such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1376971770 | NPI | - | NPPES |
| CP000817 | Other | SD | LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | CP000817 (South Dakota) | Primary |
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. Dannica Callies allows following entities to bill medicare on her behalf.
| Entity Name | Horizon Health Care Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1356459382
PECOS PAC ID: 8921997933
Enrollment ID: O20040315000974 |
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| Entity Name | T & L Quick Care Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1437650751
PECOS PAC ID: 1153670120
Enrollment ID: O20180823003741 |
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| Entity Name | American Advanced Practice Network Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1790244341
PECOS PAC ID: 0749517860
Enrollment ID: O20190830001647 |
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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. Dannica Callies 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 |
|---|
Dannica Callies,
709 4th St Se,
Lake Preston, SD 57249-2116
Ph: (605) 847-4484 | Dannica Callies,
709 4th St Se,
Lake Preston, SD 57249-2116
Ph: (605) 847-4484 |
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