Samantha Mccullough, LMSW, CAADC is a medicare enrolled "Social Worker - Clinical" provider in Flushing, Michigan. Her current practice location is
6295 N Elms Rd, Flushing, Michigan. You can reach out to her office (for appointments etc.) via phone at
(810) 243-2660.
Samantha Mccullough is licensed to practice in Michigan (license number 6801106597) 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 1952855157.
Healthcare Provider's Profile
Full Name | Samantha Mccullough |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 6295 N Elms Rd, Flushing, Michigan |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1952855157
- Provider Enumeration Date: 08/05/2016
- Last Update Date: 09/16/2022
Medicare PECOS Information:
- PECOS PAC ID: 2567818388
- Enrollment ID: I20231030002731
Medical Identifiers
Medical identifiers for Samantha Mccullough such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1952855157 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | 6801106597 (Michigan) | 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 Mccullough allows following entities to bill medicare on her behalf.
Entity Name | Growing Through It Therapy Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1144942020 PECOS PAC ID: 0749636561 Enrollment ID: O20231030002649 |
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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 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 |
Samantha Mccullough, LMSW, CAADC 1108 Lapeer Rd, Flint, MI 48503-2704 Ph: (810) 232-7919 | Samantha Mccullough, LMSW, CAADC 6295 N Elms Rd, Flushing, MI 48433-9002 Ph: (810) 243-2660 |
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