| Emily Mccullen, PA-C | |
|
29531 Plymouth Rd, Livonia, MI 48150-2125 | |
| (734) 525-7939 | |
| (313) 876-1305 |
| Full Name | Emily Mccullen |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 7 Years |
| Location | 29531 Plymouth Rd, Livonia, Michigan |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891264388 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 5601009610 (Michigan) | Secondary |
| 363A00000X | Physician Assistant | 5601009610 (Michigan) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Henry Ford Urgent Care | 6901296110 | 111 |
| Promed Preferred Mi 2 Pllc | 0345779369 | 9 |
| Entity Name | Henry Ford Urgent Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184389876 PECOS PAC ID: 6901296110 Enrollment ID: O20211202000908 |
| Entity Name | Advanced Wound Care of Caro PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700666708 PECOS PAC ID: 3678926227 Enrollment ID: O20240130003071 |
| Entity Name | Advanced Wound Care Specialists PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932082203 PECOS PAC ID: 5395222178 Enrollment ID: O20260122003612 |
| Mailing Address | Practice Location Address |
|---|---|
| Emily Mccullen, PA-C 1 Ford Pl Ste 3a, Detroit, MI 48202-3450 Ph: (313) 874-4806 | Emily Mccullen, PA-C 29531 Plymouth Rd, Livonia, MI 48150-2125 Ph: (734) 525-7939 |
Ms. Autumn Nguyen, PAC Physician Assistant Medicare: Medicare Enrolled Practice Location: 38935 Ann Arbor Rd, Credentialing/payer Enrollment Dept, Livonia, MI 48150 Phone: 734-632-0175 Fax: 734-805-0489 |
Ms. Andrea Nicole Yurcak, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 36475 Five Mile Rd, Livonia, MI 48154 Phone: 734-655-1230 |
Jennifer Handy, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 37595 7 Mile Rd, Livonia, MI 48152 Phone: 734-542-6100 |
Barbara F. Wolk, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 9216 Middlebelt Rd, Livonia, MI 48150 Phone: 734-427-3500 Fax: 734-427-9234 |
Ms. Melissa Anne Rettmann, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 33215 7 Mile Rd, Livonia, MI 48152 Phone: 248-478-3200 |
Lauren Elizabeth Raden, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 36700 Five Mile Rd, Livonia, MI 48154 Phone: 734-335-8601 Fax: 734-469-4237 |
Hilary Smith, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 20317 Farmington Rd, Livonia, MI 48152 Phone: 248-615-0777 Fax: 248-615-0779 |