Jennifer Marie Mccullugh, | |
309 Bradley Blvd, Ste 205, Richland, WA 99352-4524 | |
(509) 713-7331 | |
(509) 713-7336 |
Full Name | Jennifer Marie Mccullugh |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 18 Years |
Location | 309 Bradley Blvd, Richland, Washington |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619290947 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | AP60140231 (Washington) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mid-columbia Dermatology Llc | 6305081324 | 2 |
Entity Name | Mid-columbia Dermatology Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033457395 PECOS PAC ID: 6305081324 Enrollment ID: O20130322000223 |
Mailing Address | Practice Location Address |
---|---|
Jennifer Marie Mccullugh, 309 Bradley Blvd, Ste 205, Richland, WA 99352-4524 Ph: (509) 713-7331 | Jennifer Marie Mccullugh, 309 Bradley Blvd, Ste 205, Richland, WA 99352-4524 Ph: (509) 713-7331 |
Tracy Candace W. Degenstein, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 217 Torbett St Ste 101, Richland, WA 99354 Phone: 509-427-1450 Fax: 509-427-1490 | |
Kathryn S Brault, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1305 Mansfield St Ste 4, Richland, WA 99352 Phone: 509-946-6124 Fax: 866-692-4493 | |
Somrit Koy Tim, MD Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1100 Goethals Dr Ste E3, Richland, WA 99352 Phone: 509-942-2986 Fax: 509-942-3097 | |
Ms. Anne Campbell Laucella, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 888 Swift Blvd, Richland, WA 99352 Phone: 509-946-4611 Fax: 509-942-2648 | |
Ms. Jennifer Lee Barden, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1601 George Washington Way, Richland, WA 99354 Phone: 888-227-3312 Fax: 509-622-2707 | |
Christa Heidi Moore, ADN,BSN,MSN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 888 Swift Blvd, Richland, WA 99352 Phone: 509-942-2630 Fax: 509-942-2007 | |
Antonette Lynn Harvill, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 888 Swift Blvd., Richland, WA 99352 Phone: 509-946-4611 Fax: 509-942-2887 |