Brita C Mccullough, MD | |
420 E Division St, Fond Du Lac, WI 54935-4560 | |
(920) 926-8450 | |
Not Available |
Full Name | Brita C Mccullough |
---|---|
Gender | Female |
Speciality | Obstetrics/gynecology |
Experience | 17 Years |
Location | 420 E Division St, Fond Du Lac, Wisconsin |
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 |
---|---|---|---|
1346490323 | NPI | - | NPPES |
100017093 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 55910 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Agnes Hospital | Fond du lac, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Agnesian Healthcare Inc | 1658289624 | 335 |
Entity Name | Agnesian Healthcare Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346228541 PECOS PAC ID: 1658289624 Enrollment ID: O20031104000263 |
Mailing Address | Practice Location Address |
---|---|
Brita C Mccullough, MD 420 E Division St, Fond Du Lac, WI 54935-4560 Ph: (920) 926-8340 | Brita C Mccullough, MD 420 E Division St, Fond Du Lac, WI 54935-4560 Ph: (920) 926-8450 |
Sara J Riegert, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 420 E Division St, Fond Du Lac, WI 54935 Phone: 920-926-8450 | |
Christina A Calvello, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 420 E Division St, Fond Du Lac, WI 54935 Phone: 920-926-8450 Fax: 920-926-8891 | |
Dr. Julie M Dejong, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 420 E Division St, Fond Du Lac, WI 54935 Phone: 960-926-8450 Fax: 920-925-8891 | |
Mary M Schultz, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 420 E Division St, Fond Du Lac, WI 54935 Phone: 920-926-8450 | |
Robert J Schuster, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 420 E Division St, Fond Du Lac, WI 54935 Phone: 920-926-8450 | |
Jeremy M. Bell, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 210 Wisconsin American Dr, Fond Du Lac, WI 54937 Phone: 920-907-7000 |