Marty Mccullough, CRNA | |
611 Zeagler Dr, Palatka, FL 32177-3810 | |
(386) 326-7865 | |
Not Available |
Full Name | Marty Mccullough |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 15 Years |
Location | 611 Zeagler Dr, Palatka, Florida |
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 |
---|---|---|---|
1366678575 | NPI | - | NPPES |
002134100 | Medicaid | FL | |
G00CF | Other | FL | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | ARNP3323342 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Putnam Community Medical Center | Palatka, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Gulf-to-bay Anesthesiology Associates Llc | 5092628156 | 359 |
Entity Name | Gulf-to-bay Anesthesiology Associates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720039746 PECOS PAC ID: 5092628156 Enrollment ID: O20031106000250 |
Mailing Address | Practice Location Address |
---|---|
Marty Mccullough, CRNA Po Box 3123, St Augustine, FL 32085-3123 Ph: (904) 824-4990 | Marty Mccullough, CRNA 611 Zeagler Dr, Palatka, FL 32177-3810 Ph: (386) 326-7865 |
Katherine Martin, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 611 Zeagler Dr, Palatka, FL 32177 Phone: 386-328-5711 | |
John T Douglas, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: Highway 16, Palatka, FL 32178 Phone: 386-326-7850 | |
Mr. Vincent Demond Wright, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 611 Zeagler Dr, Palatka, FL 32177 Phone: 904-382-8247 | |
Mr. Jeffrey Edward Martin, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 611 Zeagler Dr, Palatka, FL 32177 Phone: 386-328-5711 | |
Paula B. Fuller, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 611 Zeagler Dr, Palatka, FL 32177 Phone: 386-326-8080 | |
Rosalie J. Milano, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 611 Zeagler Dr, Palatka, FL 32177 Phone: 386-328-5711 |