Dr Katherine Maccallum, MD - Medicare Surgery in Providence, RI

Dr Katherine Maccallum, MD is a medicare enrolled "Surgery - Vascular Surgery" physician in Providence, Rhode Island. Her current practice location is 2 Dudley St Ste 470, Providence, Rhode Island. You can reach out to her office (for appointments etc.) via phone at (401) 553-8325.

Dr Katherine Maccallum is licensed to practice in Rhode Island (license number MD18473) 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 1194110189.

Contact Information

Dr Katherine Maccallum, MD
2 Dudley St Ste 470,
Providence, RI 02905-3248
(401) 553-8325
(401) 868-2336



Physician's Profile

Full NameDr Katherine Maccallum
GenderFemale
SpecialitySurgery - Vascular Surgery
Location2 Dudley St Ste 470, Providence, Rhode Island
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1194110189
  • Provider Enumeration Date: 04/06/2015
  • Last Update Date: 09/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3870833692
  • Enrollment ID: I20220728000808

Medical Identifiers

Medical identifiers for Dr Katherine Maccallum such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194110189NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2086S0129XSurgery - Vascular Surgery 293441 (Massachusetts)Secondary
390200000XStudent In An Organized Health Care Education/training Program (New York)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
2086S0129XSurgery - Vascular Surgery MD18473 (Rhode Island)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. Dr Katherine Maccallum allows following entities to bill medicare on her behalf.
Entity NameUniversity Surgical Associates, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376589895
PECOS PAC ID: 4082503032
Enrollment ID: O20040818001275

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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. Dr Katherine Maccallum 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 AddressPractice Location Address
Dr Katherine Maccallum, MD
2 Dudley St Ste 470,
Providence, RI 02905-3248

Ph: (401) 553-8325
Dr Katherine Maccallum, MD
2 Dudley St Ste 470,
Providence, RI 02905-3248

Ph: (401) 553-8325

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New ads, new conservative appeals for Obamacare repeal

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People with celiac disease have reactions to non-gluten wheat proteins

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Surgery Doctors in Providence, RI

Aileen Hsueh,
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 593 Eddy St, Providence, RI 02903
Phone: 401-444-8450    Fax: 401-444-5088
Liudmila Muraveika,
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 593 Eddy St, Providence, RI 02903
Phone: 401-444-5180    Fax: 401-444-6681
Todd S Stafford, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 195 Collyer St Ste 302, Providence, RI 02904
Phone: 401-228-0633    Fax: 401-793-5171
Sagar Mulay,
Surgery
Medicare: Medicare Enrolled
Practice Location: 593 Eddy St, Providence, RI 02903
Phone: 401-444-5180    Fax: 401-444-6681
Dewahar Senthoor, MD
Surgery
Medicare: Medicare Enrolled
Practice Location: 593 Eddy St, Providence, RI 02903
Phone: 401-444-5471    Fax: 401-444-4557
Chibueze Nwaiwu, MD
Surgery
Medicare: Medicare Enrolled
Practice Location: 593 Eddy St, Providence, RI 02903
Phone: 401-444-5471    Fax: 401-444-4557
Dr. Robert Ira Wolf, MD
Surgery
Medicare: Medicare Enrolled
Practice Location: 593 Eddy St, Providence, RI 02903
Phone: 401-444-5180    

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