Dr James W Mccullough, MD | |
729 E Spaulding Ave, Pueblo West, CO 81007-3512 | |
(719) 547-9119 | |
Not Available |
Full Name | Dr James W Mccullough |
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Gender | Male |
Speciality | Family Medicine |
Location | 729 E Spaulding Ave, Pueblo West, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679937353 | NPI | - | NPPES |
9000183241 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
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208M00000X | Hospitalist | DR.0067657 (Colorado) | Secondary |
207Q00000X | Family Medicine | DR.0067657 (Colorado) | Primary |
Entity Name | Catholic Health Initiatives Colorado |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356783351 PECOS PAC ID: 8022927342 Enrollment ID: O20031215000462 |
Entity Name | Portercare Adventist Health System |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760761928 PECOS PAC ID: 0941110886 Enrollment ID: O20090115000327 |
Mailing Address | Practice Location Address |
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Dr James W Mccullough, MD Po Box 800022, Kansas City, MO 64180-0022 Ph: (800) 953-0104 | Dr James W Mccullough, MD 729 E Spaulding Ave, Pueblo West, CO 81007-3512 Ph: (719) 547-9119 |
Dr. Debra J Mccormack, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 729 E Spaulding Ave, Pueblo West, CO 81007 Phone: 719-547-9119 Fax: 719-547-7555 | |
Dr. Donald F Benton, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 121 S. Crescent Drive, Suite B, Pueblo West, CO 81007 Phone: 719-595-7575 Fax: 719-547-8368 | |
Dr. Abner Fernandez, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 121 S. Crescent Drive, Pueblo West, CO 81007 Phone: 719-595-7575 Fax: 719-547-8368 | |
Dr. John Todd White, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 729 E Spaulding Ave, Pueblo West, CO 81007 Phone: 719-547-9119 Fax: 719-547-7555 | |
Dana Ransom Bennett, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 121 S Crescent Dr, Pueblo West, CO 81007 Phone: 719-595-7575 Fax: 719-547-8368 | |
Dr. Noah Stephan Zimbelman, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 50 E Dunlap Dr, Pueblo West, CO 81007 Phone: 719-547-5138 Fax: 719-547-4374 | |
Steven James Simerville, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 109 S Burlington Dr, Pueblo West, CO 81007 Phone: 719-595-6020 Fax: 933-373-1043 |