Dr Michael Reid Mccullough, DO | |
643 S Great Southwest Pkwy, Suite 101, Grand Prairie, TX 75051-1056 | |
(972) 988-1588 | |
(972) 602-0615 |
Full Name | Dr Michael Reid Mccullough |
---|---|
Gender | Male |
Speciality | Obstetrics/gynecology |
Experience | 38 Years |
Location | 643 S Great Southwest Pkwy, Grand Prairie, Texas |
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 |
---|---|---|---|
1932135704 | NPI | - | NPPES |
033519201 | Medicaid | TX | |
10028878 | Other | TX | AMERIGROUP ID |
1275832362 | Medicaid | TX | |
4250747 | Other | TX | AETNA ID |
G74V | Other | TX | BLUE CROSS BLUE SHIELD ID |
033519201 | Other | TX | TPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207VX0000X | Obstetrics & Gynecology - Obstetrics | H9682 (Texas) | Primary |
207V00000X | Obstetrics & Gynecology | H9682 (Texas) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Obstetrix Medical Group Of Texas Billing, Inc. | 2365342938 | 24 |
Entity Name | Obstetrix Medical Group Of Texas Billing, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568486264 PECOS PAC ID: 2365342938 Enrollment ID: O20040110000026 |
Mailing Address | Practice Location Address |
---|---|
Dr Michael Reid Mccullough, DO 643 S Great Southwest Pkwy, Suite 101, Grand Prairie, TX 75051-1056 Ph: (972) 988-1588 | Dr Michael Reid Mccullough, DO 643 S Great Southwest Pkwy, Suite 101, Grand Prairie, TX 75051-1056 Ph: (972) 988-1588 |
Dr. James David Peters, D.O. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2740 N Hwy 360, Suite 100, Grand Prairie, TX 75050 Phone: 972-606-8300 Fax: 972-606-4940 | |
Jamy Lyn Bulgarelli, DO Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1901 N State Highway 360 Ste 102, Grand Prairie, TX 75050 Phone: 817-960-9142 | |
Ralph Thane Wiegman, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 643 S Great Southwest Pkwy, Ste 102, Grand Prairie, TX 75051 Phone: 972-647-0994 Fax: 972-647-0521 | |
Reynold J. Dilena, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 2737 Sherman St, Grand Prairie, TX 75051 Phone: 972-647-1455 Fax: 972-606-9827 | |
Cealee Antrea Thomas, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 2505 N Hwy 360, Grand Prairie, TX 75050 Phone: 214-952-0829 | |
Dr. Egle Emilija Berzinskas, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2210 N Hwy 360, Grand Prairie, TX 75050 Phone: 972-606-8300 Fax: 972-606-4940 |