MOLLY ELISE MCCALLUM
NPI 1407336779
Student in an Organized Health Care Education/Training Program in Aurora, CO

Active since August 16, 2018PECOS Enrolled
12631 EAST 17TH PLACE, B177, AURORA, CO 80045(303) 724-1784 Get Directions Write a Review

NPPES record last updated: April 6, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 6, 2021, Aug 16, 2018 (2 updates tracked since 2018).

About Molly Elise Mccallum NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOLLY ELISE MCCALLUM (NPI 1407336779) is an individual student in an organized health care education/training program in Aurora, Colorado and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Atlanta.

NPPES Registry Identity

NPI1407336779
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMOLLY ELISE MCCALLUM
Location Address12631 EAST 17TH PLACE, B177Aurora, CO 80045
Mailing Address12631 East 17th Place, Mailstop B177Aurora, CO 80045-2527 · (303) 724-1784
Sole ProprietorNo
Enumeration DateAugust 16, 2018
Last NPPES UpdateApril 6, 20212 updates tracked since enumeration
NPPES CertifiedApril 6, 2021
NPI 1407336779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

12631 EAST 17TH PLACE, Aurora, CO 80045

Secondary Practice Location 1

Location 11364 Clifton Rd NEAtlanta, GA 30322-1059 · Phone (404) 712-2000

Medicare Participation & PECOS Enrollment Status

Molly Mccallum is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for MOLLY ELISE MCCALLUM

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Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Student in an Organized Health Care Education/Training Program
12631 EAST 17TH PLACE
AURORA, CO 80045
Student in an Organized Health Care Education/Training Program
12631 EAST 17TH PLACE
AURORA, CO 80045
Student in an Organized Health Care Education/Training Program
12631 EAST 17TH PLACE
AURORA, CO 80045

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1407336779, enumerated as an "individual" on August 16, 2018.

The provider is located at 12631 EAST 17TH PLACE B177 AURORA, CO 80045 and the phone number is (303) 724-1784.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.