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MARY CALLIS MD
NPI 1730334020
Family Medicine in Keshena, WI

Active since December 01, 2008PECOS EnrolledAccepts Medicare Assignment
W3275 WOLF RIVER ROAD, MENOMINEE TRIBAL CLINIC, KESHENA, WI 54135(715) 799-3361(715) 799-3099 Get Directions Write a Review

NPPES record last updated: September 28, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mary Callis Md NPPES

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

MARY CALLIS MD (NPI 1730334020) is an individual family medicine provider in Keshena, Wisconsin, licensed in Wisconsin (56810-020) and active in the NPI registry since December 2008. She is enrolled in Medicare PECOS, is affiliated with Uw Health, and is a graduate of University Of Utah School Of Medicine (2008).

NPPES Registry Identity

NPI1730334020
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMARY CALLISCredential: MD
Location AddressW3275 WOLF RIVER ROAD, MENOMINEE TRIBAL CLINICKeshena, WI 54135-0970
Mailing AddressPo Box 970, Menominee Tribal ClinicKeshena, WI 54135-0970 · (715) 799-3361 · Fax (715) 799-3099
Phone(715) 799-3361
Fax(715) 799-3099
Sole ProprietorNo
Medical School CMSUniversity Of Utah School Of MedicineGraduated 2008
Enumeration DateDecember 1, 2008
Last NPPES UpdateSeptember 28, 2012
✔ NPI 1730334020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WI · 56810-020
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
W3275 WOLF RIVER ROAD, Keshena, WI 54135
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mary Callis Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8820258593
PECOS Enrollment IDI20190426000000
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
123 services115 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
121 services114 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
53 services50 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
23 services23 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Uw Health

Acute Care Hospitals · Rockford, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140228
Location1401 East State StreetRockford, IL 61104 · Winnebago County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54135 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PETER C. KEENAN M.D.
Family Medicine
W3275 WOLF RIVER ROAD
KESHENA, WI 54135
Menominee County (715) 799-3361
SUE C WESO APNP
Nurse Practitioner (Family)
W3275 WOLF RIVER ROAD
KESHENA, WI 54135
Menominee County (715) 799-3361
MICHAEL J O'NEILL M.D.
Psychiatry & Neurology (Psychiatry)
W3275 WOLF RIVER ROAD
KESHENA, WI 54135
Menominee County (715) 799-3361
LEAH ROUSE
Psychologist
W3275 WOLF RIVER ROAD
KESHENA, WI 54135
Menominee County (715) 799-5451
MENOMINEE INDIAN TRIBE OF WISCONSIN
Clinic/Center (Mental Health (Including Community Mental Health Center))
W3275 WOLF RIVER ROAD
KESHENA, WI 54135
Menominee County (715) 799-3361
DR. THOMAS WALCZYK DDS
Dentist (General Practice)
W3275 WOLF RIVER ROAD, MENOMINEE TRIBAL CLINIC
KESHENA, WI 54135
Menominee County (715) 799-3361
MENOMINEE INDIAN TRIBE OF WISCONSIN
Clinic/Center (Family Planning, Non-Surgical)
W3275 WOLF RIVER ROAD
KESHENA, WI 54135
Menominee County (715) 799-3361
DR. ROBERT P CHELBERG O.D.
Optometrist
W3275 WOLF RIVER ROAD
KESHENA, WI 54135
Menominee County (715) 799-5482

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Callis's NPI number?

The NPI number for Mary Callis is 1730334020. It was assigned to this individual provider in the NPPES registry on December 1, 2008.

Where is Mary Callis located?

Mary Callis practices at W3275 Wolf River Road Menominee Tribal Clinic, Keshena, WI 54135. The listed phone number is (715) 799-3361.

What is Mary Callis's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mary Callis enrolled in Medicare?

Yes. Mary Callis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Mary Callis affiliated with any hospitals?

According to CMS data, Mary Callis is affiliated with Uw Health.

When was this NPI record last updated?

The NPPES record for Mary Callis was last updated on September 28, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.