Kyle E Mccausland, MD | |
90 Jackson Pike, Gallipolis, OH 45631-1560 | |
(740) 446-5201 | |
(740) 446-5761 |
Full Name | Kyle E Mccausland |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 90 Jackson Pike, Gallipolis, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932297934 | NPI | - | NPPES |
2910532 | Medicaid | OH | |
3810014212 | Medicaid | WV | |
000414103J | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 029917 (Georgia) | Secondary |
207P00000X | Emergency Medicine | 35.090863 (Ohio) | Primary |
207P00000X | Emergency Medicine | 23000 (West Virginia) | Secondary |
Entity Name | Holzer Clinic Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508817248 PECOS PAC ID: 5890606008 Enrollment ID: O20031215000746 |
Mailing Address | Practice Location Address |
---|---|
Kyle E Mccausland, MD 90 Jackson Pike, Gallipolis, OH 45631 Ph: (740) 446-5002 | Kyle E Mccausland, MD 90 Jackson Pike, Gallipolis, OH 45631-1560 Ph: (740) 446-5201 |
Joseph D. Crum, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 740-446-5586 Fax: 740-446-5749 | |
Dr. Carlton Wayne Herald, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 740-446-5533 Fax: 740-441-3318 | |
Gregory J. Mickunas, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 90 Jackson Pike, Gallipolis, OH 45631 Phone: 740-446-5201 Fax: 740-446-5761 | |
T. Wayne Munro, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 90 Jackson Pike, Gallipolis, OH 45631 Phone: 740-446-5201 Fax: 740-446-5761 | |
Dr. Andrew Thomas Hughes, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 90 Jackson Pike, Gallipolis, OH 45631 Phone: 740-446-5412 Fax: 740-446-5761 | |
Susheel S Kakde Sr., M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 740-446-5000 | |
Dr. Philip C. Robbins, D.O. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 90 Jackson Pike, Gallipolis, OH 45631 Phone: 740-446-5890 Fax: 740-446-5532 |