Ethany Lea Cullen, MD is a
Radiology - Diagnostic Radiology physician based in Byron, Minnesota. Ethany Lea Cullen is licensed to practice in Minnesota (license number 51214) and her current practice location is 421 12th St Nw, Byron, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(952) 595-1100.
NPI number for Ethany Lea Cullen is 1679771497 and her current mailing address is 11995 Singletree Ln, Ste 500, Eden Prairie, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1679771497.
Physician's Profile
Full Name | Ethany Lea Cullen |
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Gender | Female |
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Speciality | Radiology - Diagnostic Radiology |
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Location | 421 12th St Nw, Byron, Minnesota |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1679771497
- Provider Enumeration Date: 07/03/2007
- Last Update Date: 05/22/2014
Medical Identifiers
Medical identifiers for Ethany Lea Cullen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1679771497 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2085R0202X | Radiology - Diagnostic Radiology | 51214 (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ethany Lea Cullen is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ethany Lea Cullen, MD 11995 Singletree Ln, Ste 500, Eden Prairie, MN 55344-5347 Ph: (952) 595-1301 | Ethany Lea Cullen, MD 421 12th St Nw, Byron, MN 55920-1391 Ph: (952) 595-1100 |
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