MEDICARE: MRS. DANA MARIE MCCABE PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	1003	NE

General Provider Information

NPI Number	:	1003904293
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. DANA MARIE MCCABE PA-C

Provider Business Mailing Address
First Line	:	4929 COUNTY ROAD P43
Second Line	:
City	:	FORT CALHOUN
State	:	NE
Zip	:	68023-5066
Country	:	US
Telephone Number	:	402-468-4655
Fax Number	:	402-468-4633

Provider Business Practice Location Address
First Line	:	4929 COUNTY ROAD P43
Second Line	:	FORT CALHOUN CLINIC
City	:	FORT CALHOUN
State	:	NE
Zip	:	68023
Country	:	US
Telephone Number	:	402-468-4655
Fax Number	:	402-468-4633

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/11/2006
Last Update Date	:	01/19/2026

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