| Dr William C Cullis, MD | |
|
126 6th Ave Sw, Ronan, MT 59864-2600 | |
| (406) 676-3600 | |
| (406) 676-3738 |
| Full Name | Dr William C Cullis |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 126 6th Ave Sw, Ronan, Montana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174685374 | NPI | - | NPPES |
| 107746 | Medicaid | MT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 8425 (Montana) | Primary |
| Entity Name | St Lukes Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306911169 PECOS PAC ID: 5496659567 Enrollment ID: O20031121000276 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr William C Cullis, MD 44997 Beaver Dr, Ronan, MT 59864-8840 Ph: (406) 676-4345 | Dr William C Cullis, MD 126 6th Ave Sw, Ronan, MT 59864-2600 Ph: (406) 676-3600 |
Megan A Vigil, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 126 6th Ave Sw, Ronan, MT 59864 Phone: 406-676-3600 Fax: 406-676-3738 | |
Sharla R Hart, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 126 6th Ave Sw, Ronan, MT 59864 Phone: 406-676-3600 Fax: 406-676-3738 | |
Dr. Edred T Vizcarra, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 126 6th Ave Sw, Ronan, MT 59864 Phone: 406-676-3600 Fax: 406-676-3738 | |
Jason Douglas Johnson, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 63351 Us Highway 93, Ronan, MT 59864 Phone: 406-676-5680 Fax: 406-676-5690 | |
Alexander J. Nutt, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 107 6th Ave Sw, Ronan, MT 59864 Phone: 406-676-4441 Fax: 406-676-0835 | |
Alexander Daniel Hetrick, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 126 6th Ave Sw, Ronan, MT 59864 Phone: 406-676-3600 |