| Brandon Mccullough, | |
|
261 N Main, Cedar Springs, MI 49319-8041 | |
| (616) 696-2020 | |
| Not Available |
| Full Name | Brandon Mccullough |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 2 Years |
| Location | 261 N Main, Cedar Springs, Michigan |
| 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 |
|---|---|---|---|
| 1851121644 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| White Pine Family Medicine Pllc | 4082653423 | 9 |
| Entity Name | White Pine Family Medicine PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427062272 PECOS PAC ID: 4082653423 Enrollment ID: O20050426000938 |
| Mailing Address | Practice Location Address |
|---|---|
| Brandon Mccullough, 3134 Plaza Dr Ne Apt A16, Grand Rapids, MI 49525-2942 Ph: (616) 322-8463 | Brandon Mccullough, 261 N Main, Cedar Springs, MI 49319-8041 Ph: (616) 696-2020 |
Kimberly Droski, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 14211 White Creek Ave Ne, Cedar Springs, MI 49319 Phone: 616-252-6320 Fax: 616-252-6360 |
Susan Lance, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 14211 White Creek Ave Ne, Cedar Springs, MI 49319 Phone: 616-252-6320 Fax: 616-252-6360 |
Therese Roys, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 14211 White Creek Ave Ne, Cedar Springs, MI 49319 Phone: 616-252-6320 Fax: 616-252-6360 |
Matthew Anthony Larsen, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 261 N Main, Cedar Springs, MI 49319 Phone: 616-696-2020 Fax: 616-696-4860 |
Tabitha Janelle Wolfson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 261 N Main, Cedar Springs, MI 49319 Phone: 616-696-2020 |
Chase Krueger, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 261 N Main, Cedar Springs, MI 49319 Phone: 616-920-4650 |
Thomas Bernard Cox, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 261 N. Main Street, Cedar Springs, MI 49319 Phone: 616-696-2020 Fax: 616-696-4860 |