| Mr Olin P Callaghan, PA | |
|
250 Delaware Ave Ste 100, Delmar, NY 12054-1402 | |
| (518) 439-8077 | |
| (518) 439-8070 |
| Full Name | Mr Olin P Callaghan |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 25 Years |
| Location | 250 Delaware Ave Ste 100, Delmar, 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 |
|---|---|---|---|
| 1902891930 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 009711 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Eddy Visiting Nurse & Rehab Association | Troy, NY | Home health agency |
| Community Hospice, Inc, The | Albany, NY | Hospice |
| St Peter's Hospital | Albany, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Community Care Physicians Pllc | 8022904473 | 361 |
| Entity Name | Samaritan Hospital of Troy, New York |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043267727 PECOS PAC ID: 6507770070 Enrollment ID: O20031118000782 |
| Entity Name | Community Care Physicians PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922048370 PECOS PAC ID: 8022904473 Enrollment ID: O20080130000272 |
| Entity Name | St. Peter's Health Partners Medical Associates, P.C. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750626834 PECOS PAC ID: 6103061189 Enrollment ID: O20130321000567 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Olin P Callaghan, PA 711 Troy Schenectady Rd Ste 203, Latham, NY 12110-2461 Ph: (518) 782-3700 | Mr Olin P Callaghan, PA 250 Delaware Ave Ste 100, Delmar, NY 12054-1402 Ph: (518) 439-8077 |
Elisa Hennessy, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 250 Delaware Ave, Suite 100, Delmar, NY 12054 Phone: 518-439-8088 Fax: 518-439-8070 |
Kaitlin Rose Surber, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 90 Adams Pl, Delmar, NY 12054 Phone: 518-689-2244 Fax: 518-689-2081 |
Amanda R Jones, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 125 Rockefeller Rd, Delmar, NY 12054 Phone: 872-231-3162 Fax: 702-977-1496 |
Tiffany Disher, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 250 Delaware Ave Ste 100, Delmar, NY 12054 Phone: 518-437-8077 |
Ray Rodrigue, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 250 Delaware Ave, Delmar Urgent Visit, Delmar, NY 12054 Phone: 518-439-8077 Fax: 518-439-8070 |
Carolyn Marie Opar-goslow, RPA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 363 Delaware Ave, Delmar, NY 12054 Phone: 518-439-9911 Fax: 518-439-7726 |