| David Garret Mccullen, CRNA | |
|
303 Medical Center Dr, Batesville, MS 38606-8608 | |
| (662) 563-0155 | |
| Not Available |
| Full Name | David Garret Mccullen |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 21 Years |
| Location | 303 Medical Center Dr, Batesville, Mississippi |
| 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 |
|---|---|---|---|
| 1902878945 | NPI | - | NPPES |
| 02537897 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | R876450 (Mississippi) | Primary |
| 367500000X | Nurse Anesthetist, Certified Registered | C01579 (Arkansas) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Of Mississippi Medical Center- Grenada | Grenada, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Willow Anesthesia Services, Llc | 9234279183 | 34 |
| Willow Anesthesia Services, Llc | 9234279183 | 34 |
| Entity Name | Baptist Memorial Hospital North Mississippi, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053375576 PECOS PAC ID: 9335057181 Enrollment ID: O20040416000311 |
| Entity Name | Willow Anesthesia Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205169521 PECOS PAC ID: 9234279183 Enrollment ID: O20091228000308 |
| Entity Name | Lifelinc Anesthesia Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801021464 PECOS PAC ID: 0941347447 Enrollment ID: O20130522000277 |
| Entity Name | State Of Mississippi-university Of Mississippi Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831520691 PECOS PAC ID: 1850293036 Enrollment ID: O20140305001658 |
| Mailing Address | Practice Location Address |
|---|---|
| David Garret Mccullen, CRNA Po Box 2819, Oxford, MS 38655-6600 Ph: (662) 550-4299 | David Garret Mccullen, CRNA 303 Medical Center Dr, Batesville, MS 38606-8608 Ph: (662) 563-0155 |
Kristina Lynn Hintzsche, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 303 Medical Center Dr, Batesville, MS 38606 Phone: 662-550-4299 Fax: 662-580-4324 | |
William Kline, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 303 Medical Center Dr, Batesville, MS 38606 Phone: 662-563-5611 | |
Mindy Manning Douglas, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 303 Medical Center Dr, Batesville, MS 38606 Phone: 866-362-6963 Fax: 866-362-4202 |