Devan Mcculloch, | |
201 Lincoln Statue Dr, Dixon, IL 61021-2000 | |
(815) 284-1700 | |
Not Available |
Full Name | Devan Mcculloch |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 12 Years |
Location | 201 Lincoln Statue Dr, Dixon, Illinois |
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 |
---|---|---|---|
1205225323 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 070070147 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ortho Rehab Specialists Pllc | 8527492354 | 12 |
Provider Name | Ortho Rehab Specialists Pllc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1891330882 PECOS PAC ID: 8527492354 Enrollment ID: O20200102001046 |
Mailing Address | Practice Location Address |
---|---|
Devan Mcculloch, 10713 E Lindenwood Rd, Chana, IL 61015-9673 Ph: () - | Devan Mcculloch, 201 Lincoln Statue Dr, Dixon, IL 61021-2000 Ph: (815) 284-1700 |
Mr. Michael Joseph Sarno, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 401 E. First Street, Dixon, IL 61021 Phone: 815-285-5591 | |
Jeffrey G. White, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 403 E 1st St, Dixon, IL 61021 Phone: 815-285-5591 | |
Wendy Sue Phillips, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 403 East 1st St, Ksb Physical Rehab, Dixon, IL 61021 Phone: 815-285-5591 | |
Patricia J Geisz, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 215 E 1st St, Commerce Towers, Suite 318-319, Dixon, IL 61021 Phone: 815-285-5591 | |
Mr. Connor Skoumal, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 403 E 1st St, Dixon, IL 61021 Phone: 815-284-5750 | |
Dpt Physical Therapist Medicare: Medicare Enrolled Practice Location: 841 N Galena Ave Ste 400, Dixon, IL 61021 Phone: 815-285-2273 |