Dr Stephen Patrick Mcculloh, MD | |
13960 Florida Blvd., Livingston, LA 70754 | |
(225) 686-0158 | |
(225) 686-9965 |
Full Name | Dr Stephen Patrick Mcculloh |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 15 Years |
Location | 13960 Florida Blvd., Livingston, Louisiana |
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 |
---|---|---|---|
1346563020 | NPI | - | NPPES |
1821110 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD.205997 (Louisiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Legacy National Hospice , Llc | Covington, LA | Hospice |
Baton Rouge General Medical Center | Baton rouge, LA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Baton Rouge General Physicians Inc | 5193623643 | 97 |
Entity Name | Baton Rouge General Physicians Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992729560 PECOS PAC ID: 5193623643 Enrollment ID: O20040616000064 |
Mailing Address | Practice Location Address |
---|---|
Dr Stephen Patrick Mcculloh, MD 8490 Picardy Ave, Bldg 200, Baton Rouge, LA 70809-3731 Ph: (225) 237-1754 | Dr Stephen Patrick Mcculloh, MD 13960 Florida Blvd., Livingston, LA 70754 Ph: (225) 686-0158 |
Brandi Sparks Basso, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 17199 Spring Ranch Rd Ste 200, Livingston, LA 70754 Phone: 225-686-4960 Fax: 225-686-4961 | |
Myia E Bozeman, FNP Family Medicine Medicare: Medicare Enrolled Practice Location: 29437 Hwy 63, Ste. 14, Livingston, LA 70754 Phone: 225-283-1356 Fax: 225-283-1705 | |
Jonathan Hickson, M.D Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 13960 Florida Blvd, Livingston, LA 70754 Phone: 225-686-0158 | |
Lauren Gillis Moore, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 13960 Florida Boulevard, Livingston, LA 70754 Phone: 225-686-0158 Fax: 225-686-9965 | |
Dr. Gayle Holley Beyl, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 17199 Spring Ranch Rd, Suite 200, Livingston, LA 70754 Phone: 225-686-4982 Fax: 225-686-4961 |