Kelsey Callahan, in Sonora, CA - Medicare Nurse Practitioner

Kelsey Callahan, is a medicare enrolled "Nurse Practitioner" in Sonora, California. Her current practice location is 1000 Greenley Rd, Sonora, California. You can reach out to her office (for appointments etc.) via phone at (951) 294-0601.

Kelsey Callahan is licensed to practice in California (license number 95024336) 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 1770288532.

Contact Information

	Kelsey Callahan,
	1000 Greenley Rd, Sonora, CA 95370-5200
	(951) 294-0601
	Not Available

Map and Direction

Provider's Profile

Full Name	Kelsey Callahan
Gender	Female
Speciality	Nurse Practitioner
Location	1000 Greenley Rd, Sonora, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770288532
Provider Enumeration Date: 04/03/2023
Last Update Date: 09/11/2024

Medicare PECOS Information:

PECOS PAC ID: 6204297351
Enrollment ID: I20230804002382

Medical Identifiers

Medical identifiers for Kelsey Callahan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770288532	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	95024336 (California)	Primary
207Q00000X	Family Medicine	95024336 (California)	Secondary

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. Kelsey Callahan allows following entities to bill medicare on her behalf.

Entity Name	Adventist Health Physicians Network
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063718583 PECOS PAC ID: 3274580972 Enrollment ID: O20050407000633

Entity Name	Sierra Emergency Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871732933 PECOS PAC ID: 2860542479 Enrollment ID: O20090602000429

Entity Name	Sierra Orthopedic Institute Medical Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487967303 PECOS PAC ID: 2163617804 Enrollment ID: O20101108001341

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. Kelsey Callahan 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
Kelsey Callahan, 28339 Halcyon Ct, Menifee, CA 92584-8039 Ph: () -	Kelsey Callahan, 1000 Greenley Rd, Sonora, CA 95370-5200 Ph: (951) 294-0601

Reviews and Comments

Nurse Practitioner Nurses in Sonora, CA

Ms. Marsha Ann Malgesini, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 20111 Cedar Rd N, Sonora, CA 95370 Phone: 209-533-7400 Fax: 209-533-7406
Mrs. Krysta Lee Wolken, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 900 Greenley Rd Ste 922, Sonora, CA 95370 Phone: 209-536-3750
Deborah Lynn Goreham, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 690 Guzzi Ln Ste C, Sonora, CA 95370 Phone: 209-533-0333
Karin Erica Rohn, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 20111 Cedar Rd N, Sonora, CA 95370 Phone: 209-533-7433 Fax: 209-533-7439
Janene R Phillips, RN, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 690 Guzzi Ln Ste C, Sonora, CA 95370 Phone: 209-233-0333 Fax: 209-533-0782
Daniel Duron, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13975 Mono Way Ste G, Sonora, CA 95370 Phone: 209-533-9600
Mrs. Lisa Jewell Andrews, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 690 Guzzi Ln Ste A, Sonora, CA 95370 Phone: 209-536-5070

Kelsey Callahan, - Medicare Nurse Practitioner in Sonora, CA