Mario Andres Casallas, - Medicare Physician Assistant in Wright Patterson Afb, OH

Mario Andres Casallas, is a medicare enrolled "Physician Assistant" in Wright Patterson Afb, Ohio. His current practice location is 4881 Sugar Maple Dr, Wright Patterson Afb, Ohio. You can reach out to his office (for appointments etc.) via phone at (937) 257-8349.

Mario Andres Casallas is licensed to practice in * (Not Available) (license number ) 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 1285399246.

Contact Information

Mario Andres Casallas,
4881 Sugar Maple Dr,
Wright Patterson Afb, OH 45433-5529
(937) 257-8349
Not Available



Provider's Profile

Full NameMario Andres Casallas
GenderMale
SpecialityPhysician Assistant
Location4881 Sugar Maple Dr, Wright Patterson Afb, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1285399246
  • Provider Enumeration Date: 11/04/2021
  • Last Update Date: 11/04/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8729478540
  • Enrollment ID: I20211209000441

Medical Identifiers

Medical identifiers for Mario Andres Casallas such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285399246NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant (* (Not Available))Primary

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. Mario Andres Casallas 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
Mario Andres Casallas,
5971 Hickam Dr,
Dayton, OH 45431-1561

Ph: () -
Mario Andres Casallas,
4881 Sugar Maple Dr,
Wright Patterson Afb, OH 45433-5529

Ph: (937) 257-8349

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› Verified 6 days ago


Physician Assistant Nurses in Wright Patterson Afb, OH

Mr. Clifford Neill Otte, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 4881 Sugar Maple Dr, 88mdg/sghj, Wright Patterson Afb, OH 45433
Phone: 937-255-7119    
Calvin Williams,
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 4881 Sugar Maple Dr Bldg 830, Wright Patterson Afb, OH 45433
Phone: 937-257-0837    
Mr. Thomas Vaughn, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433
Phone: 210-455-9000    Fax: 937-656-3700
Dr. Griffin Holauchock, DSC. PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433
Phone: 937-257-9416    
Joel T Harris, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433
Phone: 937-904-0286    
David Paul Supinski Jr., P.A.
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 4881 Sugar Maple Dr., Er/sgoe, Wright Patterson Afb, OH 45433
Phone: 937-257-0770    

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