Mrs Shannon Ballard Callaway, PA-C - Medicare Physician Assistant in Roswell, NM

Mrs Shannon Ballard Callaway, PA-C is a medicare enrolled "Physician Assistant - Medical" in Roswell, New Mexico. Her current practice location is 601 W Country Club Rd Ste 201, Roswell, New Mexico. You can reach out to her office (for appointments etc.) via phone at (575) 627-0535.

Mrs Shannon Ballard Callaway is licensed to practice in New Mexico (license number PA2022-0043) 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 1144224932.

Contact Information

Mrs Shannon Ballard Callaway, PA-C
601 W Country Club Rd Ste 201,
Roswell, NM 88201-5225
(575) 627-0535
(575) 627-5590



Provider's Profile

Full NameMrs Shannon Ballard Callaway
GenderFemale
SpecialityPhysician Assistant - Medical
Location601 W Country Club Rd Ste 201, Roswell, New Mexico
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1144224932
  • Provider Enumeration Date: 06/09/2005
  • Last Update Date: 04/03/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9739127267
  • Enrollment ID: I20220714000928

Medical Identifiers

Medical identifiers for Mrs Shannon Ballard Callaway such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144224932NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical COO2607 (Maryland)Secondary
363AM0700XPhysician Assistant - Medical PA2022-0043 (New Mexico)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. Mrs Shannon Ballard Callaway 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
Mrs Shannon Ballard Callaway, PA-C
601 W Country Club Rd Ste 201,
Roswell, NM 88201-5225

Ph: (575) 627-0535
Mrs Shannon Ballard Callaway, PA-C
601 W Country Club Rd Ste 201,
Roswell, NM 88201-5225

Ph: (575) 627-0535

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Physician Assistant Nurses in Roswell, NM

Mr. Sidney Clyde England, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 402 W Country Club Rd, Roswell, NM 88201
Phone: 575-627-9500    Fax: 575-627-9535
Mark Amba Standley, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 111 W Hobbs St, Roswell, NM 88203
Phone: 575-623-3311    
Tina J Southward, PAC
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 75 Univeristy Blvd, Ste 130, Roswell, NM 88203
Phone: 575-624-7207    
Norman Bowers,
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 303 W Country Club Rd, Roswell, NM 88201
Phone: 505-994-9435    
Rebekah D Carlozzi, PA
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 402 W. Country Club Rd, Roswell, NM 88201
Phone: 575-627-9500    Fax: 575-627-4127
John C Thomas, P.A.
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 115 E 19th St, Roswell, NM 88201
Phone: 575-622-7600    Fax: 575-622-3856

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