Thomas W Mcculloh, DO | |
1104 Walnut Dr, Ardmore, OK 73401-2353 | |
(580) 226-0543 | |
(580) 226-2284 |
Full Name | Thomas W Mcculloh |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 48 Years |
Location | 1104 Walnut Dr, Ardmore, Oklahoma |
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 |
---|---|---|---|
1407879661 | NPI | - | NPPES |
100106140C | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 1878 (Oklahoma) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mays Housecall Home Health Of Durant | Durant, OK | Home health agency |
Ideal Home Care, Lp | Ardmore, OK | Home health agency |
Mercy Hospital Ardmore, Inc | Ardmore, OK | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Good Shepherd Community Clinic, Inc. | 4284936337 | 10 |
Family Practice Associates | 6204729957 | 2 |
Entity Name | Family Practice Associates |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568576619 PECOS PAC ID: 6204729957 Enrollment ID: O20040205000853 |
Entity Name | Good Shepherd Community Clinic, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285010413 PECOS PAC ID: 4284936337 Enrollment ID: O20160106000675 |
Mailing Address | Practice Location Address |
---|---|
Thomas W Mcculloh, DO 1104 Walnut Dr, Ardmore, OK 73401-2353 Ph: (580) 226-0543 | Thomas W Mcculloh, DO 1104 Walnut Dr, Ardmore, OK 73401-2353 Ph: (580) 226-0543 |
Dr. Pete C. Chambers, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1306 12th Ave Nw, Ardmore, OK 73401 Phone: 580-223-6003 Fax: 580-223-6999 | |
Steven K Watkins, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 908 N Rockford Rd, Suite G, Ardmore, OK 73401 Phone: 580-490-9411 Fax: 580-490-9415 | |
Dr. James Forrestal, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 830 16th Ave Nw, Ardmore, OK 73401 Phone: 580-226-5120 Fax: 580-223-1003 | |
Brooks B Zimmerman, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1020 N Commerce St, Ardmore, OK 73401 Phone: 580-223-5311 Fax: 580-223-2397 | |
Oludayo Olusanya, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1011 14th Ave Nw, Ardmore, OK 73401 Phone: 580-220-6378 Fax: 580-220-6772 | |
Dr. Cameron Paul Lancarte, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1104 Walnut Dr, Ardmore, OK 73401 Phone: 580-226-0543 Fax: 580-226-2284 | |
Summer Kirby, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 921 14th Ave Nw, Ardmore, OK 73401 Phone: 580-223-5311 Fax: 580-223-8227 |