Kevin P Mcmullen, MD | |
2400 17th St, Columbus, IN 47201-5351 | |
(812) 376-5550 | |
(812) 376-5930 |
Full Name | Kevin P Mcmullen |
---|---|
Gender | Male |
Speciality | Radiation Oncology |
Experience | 30 Years |
Location | 2400 17th St, Columbus, Indiana |
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 |
---|---|---|---|
1093797045 | NPI | - | NPPES |
000000746372 | Other | IN | ANTHEM |
000000990588 | Other | IN | ANTHEM PIN |
802872 | Other | NC | PARTNERS |
891333U | Medicaid | NC | |
Q0094C | Medicaid | SC | |
1333U | Other | NC | BCBS |
2004948000 | Medicaid | WV | |
201037980 | Medicaid | IN | |
7957688 | Other | AETNA | |
C6010 | Other | NC | MEDCOST |
10001251 | Medicaid | VA | |
P01420734 | Other | IN | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0001X | Radiology - Radiation Oncology | 9900941 (North Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Essentia Health Duluth | Duluth, MN | Hospital |
Columbus Regional Hospital | Columbus, IN | Hospital |
Essentia Health St Mary's Medical Center | Duluth, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Polinsky Medical Rehabilitation Center | 0941377360 | 198 |
The Duluth Clinic Ltd | 2567374283 | 932 |
Entity Name | The Duluth Clinic Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902563638 PECOS PAC ID: 2567374283 Enrollment ID: O20031103000229 |
Mailing Address | Practice Location Address |
---|---|
Kevin P Mcmullen, MD Po Box 1828, Statesville, NC 28687-1828 Ph: (704) 878-4615 | Kevin P Mcmullen, MD 2400 17th St, Columbus, IN 47201-5351 Ph: (812) 376-5550 |
Dr. Frank Michael Mullinix, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 10601 W Grandview Dr, Columbus, IN 47201 Phone: 812-342-4408 | |
Dr. Mark A Henderson, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2400 17th St, Columbus, IN 47201 Phone: 812-376-5550 Fax: 812-376-5930 | |
Robert A Deweese, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 790 Creekview Dr, Columbus, IN 47201 Phone: 812-373-2113 Fax: 812-373-2114 |