| Brandon Scott Mccullen, CRNA | |
|
2301 S Lamar Blvd, Oxford, MS 38655-5373 | |
| (662) 232-8100 | |
| Not Available |
| Full Name | Brandon Scott Mccullen |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 15 Years |
| Location | 2301 S Lamar Blvd, Oxford, Mississippi |
| 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 |
|---|---|---|---|
| 1528397338 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | R883357 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Willis Knighton Medical Center, Inc | Shreveport, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Willis Knighton Medical Center Inc Crna Group | 1759358674 | 83 |
| Entity Name | Willis Knighton Medical Center Inc Crna Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174546097 PECOS PAC ID: 1759358674 Enrollment ID: O20040910001124 |
| Mailing Address | Practice Location Address |
|---|---|
| Brandon Scott Mccullen, CRNA 7007 Bluff Ln, Oxford, MS 38655-5968 Ph: (662) 816-7871 | Brandon Scott Mccullen, CRNA 2301 S Lamar Blvd, Oxford, MS 38655-5373 Ph: (662) 232-8100 |
Clifford Blaylock, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 208 Rachelle Dr, Oxford, MS 38655 Phone: 662-281-8700 | |
Julie Y. Fernanadez, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2301 South Lamar Blvd., Oxford, MS 38655 Phone: 662-232-8100 Fax: 334-244-1830 | |
Penneye Holder, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1208 Office Park Dr, Oxford, MS 38655 Phone: 662-234-9888 | |
Kevin Bowden, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1100 Belk Blvd, Oxford, MS 38655 Phone: 662-377-4394 | |
Lori Gray, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2704 W Oxford Loop Ste 117, Oxford, MS 38655 Phone: 662-550-4299 Fax: 662-580-4324 | |
Bradley Bailey, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2301 S Lamar Blvd, Oxford, MS 38655 Phone: 662-232-8100 | |
Mrs. Laura Nicole Billingsley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 144 Downing St, Oxford, MS 38655 Phone: 662-501-0119 |