Dr Jeffrey P Cullen, MD | |
701 N 1st St # Stq, Springfield, IL 62781-0001 | |
(217) 788-3245 | |
Not Available |
Full Name | Dr Jeffrey P Cullen |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 48 Years |
Location | 701 N 1st St # Stq, Springfield, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861463101 | NPI | - | NPPES |
036055252 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 036055252 (Illinois) | Primary |
2085R0202X | Radiology - Diagnostic Radiology | 2017013708 (Missouri) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Memorial Hospital | Belleville, IL | Hospital |
Alton Memorial Hospital | Alton, IL | Hospital |
Clay County Hospital | Flora, IL | Hospital |
Carlinville Area Hospital | Carlinville, IL | Hospital |
Fitzgibbon Memorial Hospital | Marshall, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Clinical Radiologists Sc | 3476540873 | 42 |
John Fitzgibbon Memorial Hospital Inc | 2567351570 | 89 |
Clinical Radiologists Sc | 3476540873 | 42 |
Entity Name | Crawford Hospital District |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861423287 PECOS PAC ID: 7719898071 Enrollment ID: O20040205000950 |
Entity Name | Clinical Radiologists Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063469252 PECOS PAC ID: 3476540873 Enrollment ID: O20040428000340 |
Mailing Address | Practice Location Address |
---|---|
Dr Jeffrey P Cullen, MD 3050 Montvale Dr, Springfield, IL 62704-4290 Ph: (217) 726-8096 | Dr Jeffrey P Cullen, MD 701 N 1st St # Stq, Springfield, IL 62781-0001 Ph: (217) 788-3245 |
Dr. Christopher John Norbet, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3050 Montvale Dr Ste A, Springfield, IL 62704 Phone: 217-726-8096 | |
Sandra Scroggins, MD Radiology Medicare: Medicare Enrolled Practice Location: 800 E Carpenter St, Springfield, IL 62769 Phone: 217-814-5178 Fax: 217-757-6458 | |
Dr. Terence Edward Wade, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 800 E Carpenter St, Springfield, IL 62769 Phone: 217-544-6464 | |
Benjamin Walker Fischer-valuck, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 701 N 1st St., Springfield, IL 62781 Phone: 217-528-7541 | |
Kevin Coakley, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3050 Montvale Dr Ste A, Springfield, IL 62704 Phone: 217-726-8096 | |
Ronald Hidalgo, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3050 Montvale Dr, Ste A, Springfield, IL 62704 Phone: 720-848-0000 Fax: 720-848-0000 | |
Dr. Benjamin Daniel Long, MD Radiology Medicare: Medicare Enrolled Practice Location: 800 E Carpenter St, Springfield, IL 62769 Phone: 217-544-6464 |