Jonathan Knight Kallevang, DO - Medicare Orthopaedic Surgery in Agana Heights, GU

Jonathan Knight Kallevang, DO is a medicare enrolled "Orthopaedic Surgery" physician in Agana Heights, Guam. His current practice location is Bldg #50, Farenholt Ave, Agana Heights, Guam. You can reach out to his office (for appointments etc.) via phone at (671) 344-9222.

Jonathan Knight Kallevang is licensed to practice in Virginia (license number 0102205854) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1992200422.

Contact Information

Jonathan Knight Kallevang, DO
Bldg #50, Farenholt Ave,
Agana Heights, GU 96910
(671) 344-9222
Not Available



Physician's Profile

Full NameJonathan Knight Kallevang
GenderMale
SpecialityOrthopaedic Surgery
LocationBldg #50, Farenholt Ave, Agana Heights, Guam
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1992200422
  • Provider Enumeration Date: 03/27/2018
  • Last Update Date: 07/28/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4688035033
  • Enrollment ID: I20230801002627

Medical Identifiers

Medical identifiers for Jonathan Knight Kallevang such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1992200422NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207X00000XOrthopaedic Surgery 0102205854 (Virginia)Primary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary

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. Jonathan Knight Kallevang 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
Jonathan Knight Kallevang, DO
Psc 455 Box 208,
Fpo, AP 96540-0003

Ph: (671) 344-9222
Jonathan Knight Kallevang, DO
Bldg #50, Farenholt Ave,
Agana Heights, GU 96910

Ph: (671) 344-9222

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Orthopaedic Surgery Doctors in Agana Heights, GU


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