MEDICARE: FRANCIS R MCCULLY JR. M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0202X	Diagnostic Radiology Physician	MD055767L	PA
2	2085R0202X	Diagnostic Radiology Physician	G88632	CA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	1285628750	OTHER	PA	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	50084014	OTHER	PA	CAPITAL BLUE CROSS
4	685363	OTHER	PA	BLUE SHIELD

General Provider Information

NPI Number	:	1285628750
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRANCIS R MCCULLY JR. M.D.

Provider Business Mailing Address
First Line	:	2001 LAUREL AVE # N304
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37916-1810
Country	:	US
Telephone Number	:	865-766-6870
Fax Number	:	865-766-0133

Provider Business Practice Location Address
First Line	:	1468 HILLTOP RD
Second Line	:
City	:	CHESTER SPRINGS
State	:	PA
Zip	:	19425-2808
Country	:	US
Telephone Number	:	865-766-6870
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/09/2005
Last Update Date	:	03/12/2024

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