| Drake Hunter Cullum, MD | |
|
1101 Jackson St Sw, Gravette, AR 72736-9121 | |
| (479) 787-5291 | |
| Not Available |
| Full Name | Drake Hunter Cullum |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 6 Years |
| Location | 1101 Jackson St Sw, Gravette, Arkansas |
| 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 |
|---|---|---|---|
| 1841829751 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | E-16840 (Arkansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ozarks Community Hospital Of Gravette | Gravette, AR | Hospital |
| Mercy Hospital Northwest Arkansas | Rogers, AR | Hospital |
| Northwest Medical Center | Springdale, AR | Hospital |
| Ozarks Community Hospital Of Gravette | Gravette, AR | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sgoh Acquisition Inc | 5092616276 | 95 |
| Entity Name | Sgoh Acquisition Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1568643005 PECOS PAC ID: 5092616276 Enrollment ID: O20080723000275 |
| Entity Name | Sgoh Acquisition Inc |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1568643005 PECOS PAC ID: 5092616276 Enrollment ID: O20081016000559 |
| Entity Name | Sgoh Acquisition Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568643005 PECOS PAC ID: 5092616276 Enrollment ID: O20190905000100 |
| Mailing Address | Practice Location Address |
|---|---|
| Drake Hunter Cullum, MD 1101 Jackson St Sw, Gravette, AR 72736-9121 Ph: (479) 787-5221 | Drake Hunter Cullum, MD 1101 Jackson St Sw, Gravette, AR 72736-9121 Ph: (479) 787-5291 |
Dr. Kenneth Jake Sample, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1101 Jackson St Sw, Gravette, AR 72736 Phone: 479-787-5221 Fax: 479-787-5613 |