| Mr Cullen Anthony Mack, PA | |
|
235 E Barnett Rd, Suite 106, Medford, OR 97501-7901 | |
| (541) 773-4029 | |
| Not Available |
| Full Name | Mr Cullen Anthony Mack |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 8 Years |
| Location | 235 E Barnett Rd, Medford, Oregon |
| 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 |
|---|---|---|---|
| 1104369099 | NPI | - | NPPES |
| PA180563 | Other | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 180563 (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Providence Medford Medical Center | Medford, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Providence Health And Services Oregon | 5294623245 | 152 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Cullen Anthony Mack, PA 815 N Central Ave, Suite C, Medford, OR 97501-5873 Ph: (541) 734-9030 | Mr Cullen Anthony Mack, PA 235 E Barnett Rd, Suite 106, Medford, OR 97501-7901 Ph: (541) 773-4029 |
Howie Friedman, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 691 Murphy Rd Ste 220, Medford, OR 97504 Phone: 541-789-4078 Fax: 209-383-0318 | |
Gregory Ryan Caldwell, P.A-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 701 Golf View Dr, Medford, OR 97504 Phone: 541-494-1111 Fax: 541-494-1099 | |
John D Berlingeri, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1600 Delta Waters Rd, Suite 107, Medford, OR 97504 Phone: 541-858-2515 Fax: 541-858-2514 | |
Madhavi S Deshmukh, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1600 Delta Waters Rd, Suite 107, Medford, OR 97504 Phone: 541-858-2515 Fax: 541-858-2514 | |
Steven Newhall, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 555 Black Oak Drive, Suite 400, Medford, OR 97504 Phone: 541-789-8873 Fax: 541-789-2173 | |
Ms. Carla Bloem, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 221 W Stewart Ave, Suite 101, Medford, OR 97501 Phone: 541-776-2003 Fax: 541-776-9833 | |
Ms. Darla Jo Stiles, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3524 Heathrow Way, Medford, OR 97504 Phone: 541-646-3505 Fax: 541-646-3553 |