| Dr Casey Kent Mccullough, MD | |
|
1478 East Highway 162, Montezuma Creek, UT 84534-0130 | |
| (435) 651-3700 | |
| (435) 678-0608 |
| Full Name | Dr Casey Kent Mccullough |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 15 Years |
| Location | 1478 East Highway 162, Montezuma Creek, Utah |
| 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 |
|---|---|---|---|
| 1902127350 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 86533281205 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Blue Mountain Hospital | Blanding, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Blue Mountain Hospital | 0749344661 | 6 |
| Utah Navajo Health System Incorporated | 1658275649 | 45 |
| Entity Name | Utah Navajo Health System Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811991151 PECOS PAC ID: 1658275649 Enrollment ID: O20031121000239 |
| Entity Name | Blue Mountain Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558513812 PECOS PAC ID: 0749344661 Enrollment ID: O20090203000527 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Casey Kent Mccullough, MD Po Box 130, Montezuma Creek, UT 84534-0130 Ph: (435) 651-3291 | Dr Casey Kent Mccullough, MD 1478 East Highway 162, Montezuma Creek, UT 84534-0130 Ph: (435) 651-3700 |
William A Cuskelly, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1478 East Highway 162, Montezuma Creek, UT 84534 Phone: 435-651-3700 Fax: 435-678-0608 | |
Dr. Kimberly Fairley, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1478 East Highway 162, Montezuma Creek, UT 84511 Phone: 435-651-3700 Fax: 435-678-0608 | |
Mr. Joshua Hinckley Nielson, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1478 East Highway 162, Montezuma Creek, UT 84534 Phone: 435-651-3700 Fax: 435-678-0707 | |
Dr. Stephen Andrew Reale, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1478 East Highway 162, Montezuma Creek, UT 84534 Phone: 435-651-3700 |