Krista M Mcculloch, LSW in Maumee, OH - Medicare Social Worker Provider

Krista M Mcculloch, LSW is a medicare enrolled "Social Worker - Clinical" provider in Maumee, Ohio. Her current practice location is 1627 Henthorne Dr Ste C, Maumee, Ohio. You can reach out to her office (for appointments etc.) via phone at (419) 491-0420.

Krista M Mcculloch is licensed to practice in Ohio (license number S.0800738) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1124453907.

Contact Information

	Krista M Mcculloch, LSW
	1627 Henthorne Dr Ste C, Maumee, OH 43537-1370
	(419) 491-0420
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Krista M Mcculloch
Gender	Female
Speciality	Social Worker - Clinical
Location	1627 Henthorne Dr Ste C, Maumee, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124453907
Provider Enumeration Date: 09/11/2013
Last Update Date: 03/13/2020

Medicare PECOS Information:

PECOS PAC ID: 0749611564
Enrollment ID: I20200512001471

Medical Identifiers

Medical identifiers for Krista M Mcculloch such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124453907	NPI	-	NPPES
2871101	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	S.0800738 (Ohio)	Primary

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. Krista M Mcculloch allows following entities to bill medicare on her behalf.

Entity Name	Anchored In Hope Counseling, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437626587 PECOS PAC ID: 5294166138 Enrollment ID: O20200511000654

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. Krista M Mcculloch 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
Krista M Mcculloch, LSW Po Box 823, Perrysburg, OH 43552-0823 Ph: (419) 491-0420	Krista M Mcculloch, LSW 1627 Henthorne Dr Ste C, Maumee, OH 43537-1370 Ph: (419) 491-0420

Reviews and Comments

Social Worker in Maumee, OH

Mrs. Leslie Witherell, MSW, LISW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1715 Indian Wood Cir Ste 200, Maumee, OH 43537 Phone: 877-906-9699 Fax: 888-483-0118
Heather Michelle Voyles, LISW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1655 Holland Rd Ste F, Maumee, OH 43537 Phone: 833-510-4357 Fax: 866-460-2997
Debra J Roidl, MSW, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 720 Corey St, Maumee, OH 43537 Phone: 419-367-8835 Fax: 419-893-3828
Olivia Dunbar, LISW-S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1757 Indian Wood Cir, Maumee, OH 43537 Phone: 866-203-0308
Elizabeth Brodhag, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 112 E Dudley St, Maumee, OH 43537 Phone: 419-326-5732
Diana L Orns-grant, LISW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1715 Indian Wood Cir Ste 200, Maumee, OH 43537 Phone: 269-339-8531

Krista M Mcculloch, LSW - Medicare Clinical Social Worker in Maumee, OH