Blake Mccullough, LMSW in East Lansing, MI - Medicare Social Worker Provider

Blake Mccullough, LMSW is a medicare enrolled "Social Worker - Clinical" provider in East Lansing, Michigan. His current practice location is 2900 Hannah Blvd Ste 104, East Lansing, Michigan. You can reach out to his office (for appointments etc.) via phone at (517) 253-6320.

Blake Mccullough is licensed to practice in Michigan (license number 6801104012) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1679073092.

Contact Information

	Blake Mccullough, LMSW
	2900 Hannah Blvd Ste 104, East Lansing, MI 48823-5380
	(517) 253-6320
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Blake Mccullough
Gender	Male
Speciality	Social Worker - Clinical
Location	2900 Hannah Blvd Ste 104, East Lansing, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679073092
Provider Enumeration Date: 02/13/2018
Last Update Date: 08/08/2023

Medicare PECOS Information:

PECOS PAC ID: 8224365028
Enrollment ID: I20190815002275

Medical Identifiers

Medical identifiers for Blake Mccullough such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679073092	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	6801104012 (Michigan)	Primary
104100000X	Social Worker	6801100146 (Michigan)	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Blake Mccullough allows following entities to bill medicare on his behalf.

Entity Name	Edward W Sparrow Hospital Association
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831139088 PECOS PAC ID: 6709799166 Enrollment ID: O20040102000790

Entity Name	Edward W Sparrow Hospital Association
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124654793 PECOS PAC ID: 6709799166 Enrollment ID: O20200827000629

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Blake Mccullough is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Blake Mccullough, LMSW 2900 Hannah Blvd Ste 104, East Lansing, MI 48823-5380 Ph: (517) 253-6320	Blake Mccullough, LMSW 2900 Hannah Blvd Ste 104, East Lansing, MI 48823-5380 Ph: (517) 253-6320

Reviews and Comments

Social Worker in East Lansing, MI

Krystal R Davis-dunn, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 601 Abbot Rd Ste 103e, East Lansing, MI 48823 Phone: 517-574-4797 Fax: 517-484-1771
Mr. Peter Culross Wood, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4572 S. Hagadorn Rd, Ste. 2b, East Lansing, MI 48823 Phone: 517-881-6845
Ms. Gina Marie Snoeyink, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 780 W Lake Lansing Rd Ste 100, East Lansing, MI 48823 Phone: 517-618-9653 Fax: 517-252-2689
Elizabeth Mary Davis-pennington, LMSW-CLINICAL Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 808 W Lake Lansing Rd Ste 200, East Lansing, MI 48823 Phone: 151-770-5320
Mrs. Letisha Mechell Holloway, LMSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 5031 Park Lake Rd, East Lansing, MI 48823 Phone: 517-332-0811 Fax: 517-332-4452
Katherine Rachael Murton, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 702 W Lake Lansing Rd, East Lansing, MI 48823 Phone: 517-332-5342 Fax: 517-316-2893
Change Kwesele, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 411 W Lake Lansing Rd Ste C120, East Lansing, MI 48823 Phone: 517-215-5217

Blake Mccullough, LMSW - Medicare Clinical Social Worker in East Lansing, MI