Andrea Mccullough, MD | |
700 River Dr, Fort Bragg, CA 95437-5403 | |
(707) 961-4655 | |
Not Available |
Full Name | Andrea Mccullough |
---|---|
Gender | Female |
Speciality | Emergency Medicine |
Experience | 33 Years |
Location | 700 River Dr, Fort Bragg, California |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366535890 | NPI | - | NPPES |
00A619510 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207PE0004X | Emergency Medicine - Emergency Medical Services | A61951 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Adventist Health Home Care Services | Willits, CA | Home health agency |
Adventist Health Howard Memorial | Willits, CA | Hospital |
Adventist Health Ukiah Valley | Ukiah, CA | Hospital |
Mendocino Coast District Hospital | Fort bragg, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ukiah Adventist Hospital | 6406816123 | 104 |
Willits Hospital Inc | 7416940697 | 45 |
Entity Name | Willits Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356339543 PECOS PAC ID: 7416940697 Enrollment ID: O20040405000843 |
Entity Name | Adventist Health Physicians Network |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063718583 PECOS PAC ID: 3274580972 Enrollment ID: O20050407000633 |
Entity Name | Mountain Communities Healthcare District |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1750462271 PECOS PAC ID: 9133227135 Enrollment ID: O20070613000851 |
Entity Name | Pacific Redwood Medical Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295924470 PECOS PAC ID: 6204913767 Enrollment ID: O20080408000421 |
Entity Name | Mountain Communities Healthcare District |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407027568 PECOS PAC ID: 9133227135 Enrollment ID: O20160208000679 |
Mailing Address | Practice Location Address |
---|---|
Andrea Mccullough, MD 2107 Livingston St, Suite A, Oakland, CA 94606-5218 Ph: (510) 436-9000 | Andrea Mccullough, MD 700 River Dr, Fort Bragg, CA 95437-5403 Ph: (707) 961-4655 |
Tamaki A. Myers, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 River Dr, Fort Bragg, CA 95437 Phone: 707-961-1234 | |
Patrick Lenaghan, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 707 River Dr, Fort Bragg, CA 95437 Phone: 202-247-7081 | |
Dr. Richard Robert Reid, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 River Dr, Fort Bragg, CA 95437 Phone: 707-961-1234 |