| Michael Patrick Mccullough, DPM | |
|
2200 Bryant Williams Drive, Suite 1, Klamath Falls, OR 97601-1121 | |
| (541) 884-7746 | |
| (541) 884-0848 |
| Full Name | Michael Patrick Mccullough |
|---|---|
| Gender | Male |
| Speciality | Podiatrist |
| Location | 2200 Bryant Williams Drive, Klamath Falls, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982692661 | NPI | - | NPPES |
| P01237834 | Other | OR | RAIL ROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | DP00178 (Oregon) | Primary |
| Provider Name | Sky Lakes Medical Center Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1659340370 PECOS PAC ID: 1052204096 Enrollment ID: O20040204000577 |
| Provider Name | Klamath Tribal Health & Family Services |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1629078274 PECOS PAC ID: 9032027206 Enrollment ID: O20040408001359 |
| Provider Name | Klamath Orthopedic Clinic Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1811919913 PECOS PAC ID: 0244226561 Enrollment ID: O20040422000721 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Patrick Mccullough, DPM 2200 Bryant Williams Drive, Suite 1, Klamath Falls, OR 97601-1121 Ph: (541) 884-7746 | Michael Patrick Mccullough, DPM 2200 Bryant Williams Drive, Suite 1, Klamath Falls, OR 97601-1121 Ph: (541) 884-7746 |
Dr. Robert Scott Soulier, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2200 Bryant Williams Dr Ste 1, Klamath Falls, OR 97601 Phone: 541-884-7746 Fax: 541-274-5705 | |
Dr. Jeff T Merrill, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 531 S 6th St, Klamath Falls, OR 97601 Phone: 541-850-6463 | |
Dr. Ross Albert Leonard, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 2300 Clairmont Dr Ste A, Klamath Falls, OR 97601 Phone: 541-850-6463 Fax: 541-850-5990 | |
Klamath Falls Foot And Ankle Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 2300 Clairmont Dr Ste A, Klamath Falls, OR 97601 Phone: 541-850-6463 |