Benjamin R Mccullar, DPM | |
1915 Bishop Ln, Louisville, KY 40218-1901 | |
(502) 459-3338 | |
(502) 459-7509 |
Full Name | Benjamin R Mccullar |
---|---|
Gender | Male |
Speciality | Podiatry |
Experience | 8 Years |
Location | 1915 Bishop Ln, Louisville, Kentucky |
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 |
---|---|---|---|
1750732707 | NPI | - | NPPES |
7100603540 | Medicaid | KY | |
300027424 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | 00452 (Kentucky) | Secondary |
213ES0103X | Podiatrist - Foot & Ankle Surgery | 243961 (Kentucky) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The Southeast Permanente Medical Group | 6204829013 | 660 |
Provider Name | The Southeast Permanente Medical Group |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1245266956 PECOS PAC ID: 6204829013 Enrollment ID: O20040407000370 |
Mailing Address | Practice Location Address |
---|---|
Benjamin R Mccullar, DPM 1915 Bishop Ln, Louisville, KY 40218-1901 Ph: (502) 459-3338 | Benjamin R Mccullar, DPM 1915 Bishop Ln, Louisville, KY 40218-1901 Ph: (502) 459-3338 |
Dr. Thomas Wayne Childress Jr., D.P.M Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3 Audubon Plaza Dr, Suite 320, Louisville, KY 40217 Phone: 502-893-1844 | |
Mrs. Melissa Ann Dorsett, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3430 Newburg Rd, Ste 153, Louisville, KY 40218 Phone: 502-459-8127 Fax: 502-459-8620 | |
Andrew R Bouwkamp, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3901 Dutchmans Ln Ste 104, Louisville, KY 40207 Phone: 502-496-4914 Fax: 502-459-7509 | |
Podiatric Physicians Of Kentucky, Psc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 9110 Leesgate Road, Louisville, KY 40222 Phone: 502-426-7222 Fax: 502-425-8226 | |
Makenzie Lynn Kerns, Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 7397 Jefferson Blvd, Louisville, KY 40219 Phone: 502-968-2233 Fax: 502-968-2283 | |
Dr. Joshua Coger, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 6641 Dixie Hwy, Louisville, KY 40258 Phone: 502-364-0902 | |
Dr. Rhonda A Eichenberger, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 9900 Shelbyville Rd Ste 11a, Louisville, KY 40223 Phone: 502-899-9771 Fax: 502-899-9772 |