Mr Charles E Mccullough, CPT | |
400 22nd Ave., Brookings, SD 57006-2497 | |
(605) 697-9500 | |
(605) 697-6939 |
Full Name | Mr Charles E Mccullough |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 32 Years |
Location | 400 22nd Ave., Brookings, South Dakota |
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 |
---|---|---|---|
1265484216 | NPI | - | NPPES |
5831322 | Medicaid | SD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 0560 (South Dakota) | Secondary |
2251H1200X | Physical Therapist - Hand | 0560 (South Dakota) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
City Of Brookings | 1052307105 | 89 |
Provider Name | City Of Brookings |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1932281029 PECOS PAC ID: 1052307105 Enrollment ID: O20040423000002 |
Mailing Address | Practice Location Address |
---|---|
Mr Charles E Mccullough, CPT 400 22nd Ave., Brookings, SD 57006-2497 Ph: (605) 697-9500 | Mr Charles E Mccullough, CPT 400 22nd Ave., Brookings, SD 57006-2497 Ph: (605) 697-9500 |
Andrea Lynn Schulz, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1312 Pheasant Run Rd, Brookings, SD 57006 Phone: 605-697-6041 | |
Hunter Anshutz, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 302 W 6th St, Brookings, SD 57006 Phone: 605-692-8848 Fax: 605-692-8849 | |
Pro Pt, Inc. Physical Therapist Medicare: Medicare Enrolled Practice Location: 302 W 6th St, Brookings, SD 57006 Phone: 605-692-8848 Fax: 605-692-8849 | |
Kyle Behl, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1009 Main Ave S, Brookings, SD 57006 Phone: 605-695-5123 | |
Jordan Jacobsen, D.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2218 Derdall Dr, Brookings, SD 57006 Phone: 605-203-1115 | |
Ms. Sandra M. Kutscher, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 400 22nd Ave, Brookings, SD 57006 Phone: 605-697-9500 Fax: 605-697-6939 | |
Kip A Kludt, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 400 22nd Ave, Brookings, SD 57006 Phone: 605-697-9500 Fax: 605-697-6939 |