Benjamin R Mccullar is a Louisville, Kentucky based male podiatrist with 8 years of experience in Podiatry. He completed his graduation in 2016. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Benjamin R Mccullar for Podiatric Foot & Ankle Surgery is 243961 in Kentucky. Benjamin R Mccullar is qualified with a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. He diagnose and treat foot diseases and deformities. He can perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Complete Profile:
Benjamin R Mccullar speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Podiatrist
Credentials:
DPM
Experience:
8+ years
Medical School Attended:
Other
Graduation Year:
2016
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
1915 Bishop Ln, Louisville, Kentucky, 40218-1901
Phone:
502-459-3338
Fax:
502-459-7509
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
0143556753
Enrollment ID:
I20220509000793
NPI Number:
1750732707
NPI Enumeration Date:
30 Jun, 2016
NPI Last Update On:
02 Jul, 2019
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Benjamin R Mccullar are as mentioned below.
License Number
Specialization
State
Status
243961
Podiatric Foot & Ankle Surgery
Kentucky
Primary
00452
Podiatry
Kentucky
Secondary
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Benjamin R Mccullar is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
The Southeast Permanente Medical Group (6204829013)
622
Other Medical Identifiers:
Other legacy medical identifiers associated with Benjamin R Mccullar such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
7100603540
Medicaid
Kentucky
300027424
Medicaid
Indiana
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1915 Bishop Ln, Louisville, Kentucky
Zip:
40218-1901
Phone Number:
502-459-3338
Fax Number:
502-459-7509
Patients can reach Benjamin R Mccullar at 1915 Bishop Ln, Louisville, Kentucky or can call to book an appointment on 502-459-3338. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.