| Gina Marie O'callaghan, PA-C | |
|
3000 Old Centre Rd, Portage, MI 49024-4883 | |
| (269) 321-7546 | |
| (269) 321-1705 |
| Full Name | Gina Marie O'callaghan |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 3000 Old Centre Rd, Portage, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003239500 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 2108 (South Carolina) | Secondary |
| 363A00000X | Physician Assistant | 5601006884 (Michigan) | Primary |
| Entity Name | Bay Street Orthopaedics PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174808992 PECOS PAC ID: 4688864788 Enrollment ID: O20120814000211 |
| Entity Name | Tova Rogers MD Mfa PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336865112 PECOS PAC ID: 4486024569 Enrollment ID: O20230105003118 |
| Mailing Address | Practice Location Address |
|---|---|
| Gina Marie O'callaghan, PA-C 2180 Henry Tecklenburg Dr, Charleston, SC 29414-5798 Ph: (843) 556-8886 | Gina Marie O'callaghan, PA-C 3000 Old Centre Rd, Portage, MI 49024-4883 Ph: (269) 321-7546 |
Brittany Rose Doxey, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1324 W Milham Ave, Portage, MI 49024 Phone: 269-342-0196 |
Stephanie Sabater-geib, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3000 Old Centre Rd, Portage, MI 49024 Phone: 269-321-7546 Fax: 269-321-1705 |
Pamela Bartley, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7901 Angling Rd, Portage, MI 49024 Phone: 269-324-8600 |
Brooke Osborne Boyd, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3000 Old Centre Rd, Portage, MI 49024 Phone: 269-321-7546 Fax: 269-321-1705 |
Lauren Weessies, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3304 Cooley Ct, Portage, MI 49024 Phone: 269-341-2266 |
Jonathan Hawblitz, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2700 E Centre Ave, Portage, MI 49002 Phone: 269-286-7050 Fax: 269-286-7051 |
Therese A Birkam-jade, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6100 Newport Rd, Suite 100, Portage, MI 49002 Phone: 269-343-4679 Fax: 269-343-5929 |