Ryan T Mcculloch, PA in Chubbuck, ID - Medicare Physician Assistant

Ryan T Mcculloch, PA is a medicare enrolled "Physician Assistant" in Chubbuck, Idaho. He went to University Of Nebraska College Of Medicine and graduated in 2002 and has 22 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Idaho Skin Institute Of Chubbuck and his current practice location is 147 W Chubbuck Rd, Chubbuck, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 238-7546.

Ryan T Mcculloch is licensed to practice in Idaho (license number PA405) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1720195530.

Contact Information

	Ryan T Mcculloch, PA
	147 W Chubbuck Rd, Chubbuck, ID 83202-2314
	(208) 238-7546
	(208) 237-9643

Map and Direction

Provider's Profile

Full Name	Ryan T Mcculloch
Gender	Male
Speciality	Physician Assistant
Experience	22 Years
Location	147 W Chubbuck Rd, Chubbuck, Idaho
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ryan T Mcculloch attended and graduated from University Of Nebraska College Of Medicine in 2002

NPI Data:

NPI Number: 1720195530
Provider Enumeration Date: 08/25/2006
Last Update Date: 12/20/2010

Medicare PECOS Information:

PECOS PAC ID: 5991780082
Enrollment ID: I20040622001520

Medical Identifiers

Medical identifiers for Ryan T Mcculloch such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720195530	NPI	-	NPPES
P00329828	Other	ID	RAILROAD MEDICARE PTAN
806497600	Medicaid	ID

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	PA405 (Idaho)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Idaho Skin Institute Of Chubbuck	0648658807	4

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ryan T Mcculloch is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Ryan T Mcculloch, PA 147 W Chubbuck Rd, Chubbuck, ID 83202-2314 Ph: (208) 238-7546	Ryan T Mcculloch, PA 147 W Chubbuck Rd, Chubbuck, ID 83202-2314 Ph: (208) 238-7546

Reviews and Comments

Physician Assistant Nurses in Chubbuck, ID

Renee Lynn Katter, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 4460 Kings Way Ste 3, Chubbuck, ID 83202 Phone: 208-237-3612 Fax: 208-237-5192
Brookelle Smith Gunn, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 880 W Quinn Rd, Chubbuck, ID 83202 Phone: 208-238-2000
Mrs. Rachel M Koster, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4650 Hawthorne Road,, Suite 3b, Chubbuck, ID 83202 Phone: 208-237-9833
Michaela Sophia Butler, PA-S Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4650 Hawthorne Rd Ste 3b, Chubbuck, ID 83202 Phone: 208-252-5621 Fax: 208-648-4167
Mr. Wiley D Petersen, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 134 W Chubbuck Rd, Chubbuck, ID 83202 Phone: 208-417-0102 Fax: 208-242-3219
Ryan Daniel Wolfley, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4650 Hawthorne Rd Ste 3b, Chubbuck, ID 83202 Phone: 208-252-5621 Fax: 208-648-4167

Ryan T Mcculloch, PA - Medicare Physician Assistant in Chubbuck, ID