| Dr John Scott Mccullough, MD | |
|
1771 Madison St, Clarksville, TN 37043-4990 | |
| (931) 551-1939 | |
| (931) 221-2236 |
| Full Name | Dr John Scott Mccullough |
|---|---|
| Gender | Male |
| Speciality | Pathology |
| Experience | 38 Years |
| Location | 1771 Madison St, Clarksville, Tennessee |
| 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 |
|---|---|---|---|
| 1558333062 | NPI | - | NPPES |
| 3858460 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 34439 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tennova Healthcare-clarksville | Clarksville, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cumberland Pathology Associates Pllc | 6305944687 | 4 |
| Entity Name | Cumberland Pathology Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568434256 PECOS PAC ID: 6305944687 Enrollment ID: O20070611000213 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr John Scott Mccullough, MD Po Box 30309, Charleston, SC 29417-0309 Ph: (843) 554-9300 | Dr John Scott Mccullough, MD 1771 Madison St, Clarksville, TN 37043-4990 Ph: (931) 551-1939 |
Dr. Joseph Eugene Dyer, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 2443 Widgeon Dr, Clarksville, TN 37042 Phone: 931-648-2385 | |
Dr. Gary Lynn Silvey, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 1711 Madison St, Clarksville, TN 37043 Phone: 931-551-1939 Fax: 931-221-2236 | |
Randall Robert Haase, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 1771 Madison St, Clarksville, TN 37043 Phone: 931-551-1939 Fax: 931-221-2236 |