Samantha Arin Mccullough, is a medicare enrolled "Social Worker - Clinical" provider in Iola, Kansas. Her current practice location is
2051 N State St, Iola, Kansas. You can reach out to her office (for appointments etc.) via phone at
(620) 380-6600.
Samantha Arin Mccullough is licensed to practice in Kansas (license number 06262) 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 1245915594.
Healthcare Provider's Profile
| Full Name | Samantha Arin Mccullough |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 2051 N State St, Iola, Kansas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1245915594
- Provider Enumeration Date: 06/15/2023
- Last Update Date: 05/14/2024
Medicare PECOS Information:
- PECOS PAC ID: 4183062888
- Enrollment ID: I20240401000840
Medical Identifiers
Medical identifiers for Samantha Arin Mccullough such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1245915594 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 00860 (Kansas) | Secondary |
| 1041C0700X | Social Worker - Clinical | 06262 (Kansas) | 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. Samantha Arin Mccullough allows following entities to bill medicare on her behalf.
| Entity Name | Community Health Center Of Southeast Kansas Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1669474425
PECOS PAC ID: 7911816392
Enrollment ID: O20040209000163 |
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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. Samantha Arin 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 |
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Samantha Arin Mccullough,
Po Box 1832,
Pittsburg, KS 66762-1832
Ph: () - | Samantha Arin Mccullough,
2051 N State St,
Iola, KS 66749-1677
Ph: (620) 380-6600 |
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