| Thomas Mccullough, | |
|
410 University Pkwy Ste 2500, Aiken, SC 29801-6830 | |
| (803) 648-7888 | |
| (803) 648-3302 |
| Full Name | Thomas Mccullough |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 17 Years |
| Location | 410 University Pkwy Ste 2500, Aiken, South Carolina |
| 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 |
|---|---|---|---|
| 1093980757 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | TL34041 (South Carolina) | Primary |
| 207R00000X | Internal Medicine | 148953 (North Carolina) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Trinity Home Health Of Aiken | Aiken, SC | Home health agency |
| Amedisys Home Health Of Lexington | Lexington, SC | Home health agency |
| Pruitthealth Home Health-low Country | Bluffton, SC | Home health agency |
| Pruitthealth Hospice- Charleston | Charleston, SC | Hospice |
| Aiken Regional Medical Center | Aiken, SC | Hospital |
| University Hospital | Augusta, GA | Hospital |
| Pruitthealth-aiken | Aiken, SC | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aiken Internal Med Pa | 6608863782 | 2 |
| Aiken Regional Medical Centers Llc | 9739083312 | 5 |
| Entity Name | Aiken Regional Medical Centers Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316955875 PECOS PAC ID: 9739083312 Enrollment ID: O20031125000288 |
| Entity Name | Aiken Internal Med Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952488900 PECOS PAC ID: 6608863782 Enrollment ID: O20101207001083 |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas Mccullough, Po Box 215, Aiken, SC 29802-0215 Ph: (803) 648-7888 | Thomas Mccullough, 410 University Pkwy Ste 2500, Aiken, SC 29801-6830 Ph: (803) 648-7888 |
Kate Barrett Mayes, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 223 Park Ave Se, Aiken, SC 29801 Phone: 803-641-1270 Fax: 803-641-1276 | |
Ghulam Murtaza, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 137 Miracle Dr, Aiken, SC 29801 Phone: 803-641-4874 | |
Janet L Utz, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 137 Miracle Drive, Aiken, SC 29801 Phone: 803-641-4874 Fax: 803-641-0436 | |
Dr. Amalachi Favour Ndiagwalu, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 302 University Pkwy, Aiken, SC 29801 Phone: 803-641-5000 | |
Dr. Sheetal L Higbee, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 222 University Pkwy, Aiken, SC 29801 Phone: 803-306-1438 | |
Dr. Weems R Pennington Iii, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 137 Miracle Dr, Aiken, SC 29801 Phone: 803-641-4874 Fax: 803-641-0436 |