Dr Kevin Mcmullen, MD | |
1821 South Ave W Ste 402, Missoula, MT 59801-6518 | |
(406) 543-8512 | |
(406) 541-8513 |
Full Name | Dr Kevin Mcmullen |
---|---|
Gender | Male |
Speciality | Dermatology |
Experience | 10 Years |
Location | 1821 South Ave W Ste 402, Missoula, Montana |
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 |
---|---|---|---|
1225442247 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | A142278 (California) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | 260111 (Massachusetts) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Community Medical Center | Missoula, MT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Forefront Dermatology | 3779471701 | 483 |
Entity Name | Forefront Dermatology Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922647395 PECOS PAC ID: 3779471701 Enrollment ID: O20200320002135 |
Mailing Address | Practice Location Address |
---|---|
Dr Kevin Mcmullen, MD 801 York S T, Manitowoc, WI 54220-4630 Ph: (206) 639-0089 | Dr Kevin Mcmullen, MD 1821 South Ave W Ste 402, Missoula, MT 59801-6518 Ph: (406) 543-8512 |
Jacob James Inda, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2835 Fort Missoula Rd Bldg 3, Missoula, MT 59804 Phone: 406-721-5600 | |
Charlotte L Kutsch, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2835 Fort Missoula Rd, Ste 302, Missoula, MT 59804 Phone: 406-721-3497 | |
Shannon Kaye Foster, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2835 Fort Missoula Rd Bldg 3, Missoula, MT 59804 Phone: 406-721-5600 | |
Andrew R. Tegeder, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2835 Fort Missoula Rd Bldg 3, Missoula, MT 59804 Phone: 406-721-5600 Fax: 406-329-7192 | |
Jessica Kelly Sempler, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2835 Fort Missoula Rd Bldg 3, Missoula, MT 59804 Phone: 406-721-5600 Fax: 406-329-7192 | |
Mr. Lance Randall Hinther, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 2825 Fort Missoula Road, Suite 201, Missoula, MT 59804 Phone: 406-549-7556 Fax: 406-728-1868 |