Cristina M Culcea, MD - Medicare Pediatrics in Holyoke, MA

Cristina M Culcea, MD is a medicare enrolled "Pediatrics" physician in Holyoke, Massachusetts. Her current practice location is 18 Hospital Dr, Western Mass Pediatrics, Holyoke, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (413) 534-2800.

Cristina M Culcea is licensed to practice in Massachusetts (license number 253200) 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 1780698860.

Contact Information

Cristina M Culcea, MD
18 Hospital Dr, Western Mass Pediatrics,
Holyoke, MA 01040-6604
(413) 534-2800
(413) 534-2801

Map and Direction




Physician's Profile

Full NameCristina M Culcea
GenderFemale
SpecialityPediatrics
Location18 Hospital Dr, Holyoke, Massachusetts
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1780698860
  • Provider Enumeration Date: 07/27/2006
  • Last Update Date: 05/01/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 8022087576
  • Enrollment ID: I20121207000267

Medical Identifiers

Medical identifiers for Cristina M Culcea such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780698860NPI-NPPES
110094266AMedicaidMA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 7045A (Wyoming)Secondary
208000000XPediatrics 13313 (New Hampshire)Secondary
208000000XPediatrics 253200 (Massachusetts)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. Cristina M Culcea allows following entities to bill medicare on her behalf.
Entity NameHolyoke Health Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740271022
PECOS PAC ID: 8527969302
Enrollment ID: O20040408000104

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. Cristina M Culcea 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 AddressPractice Location Address
Cristina M Culcea, MD
260 New Ludlow Rd, Western Mass Physician Associates, Inc.,
Chicopee, MA 01020-4324

Ph: (413) 534-2800
Cristina M Culcea, MD
18 Hospital Dr, Western Mass Pediatrics,
Holyoke, MA 01040-6604

Ph: (413) 534-2800

Reviews and Comments


Pediatrics Doctors in Holyoke, MA

David N Gottsegen, M.D.
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Practice Location: 150 Lower Westfield Rd, Ste1, Holyoke, MA 01040
Phone: 413-536-2393    Fax: 413-536-1087
Dr. Jacqueline L. Pleet, M.D.
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Practice Location: 150 Lower Westfield Rd, Ste1, Holyoke, MA 01040
Phone: 413-536-2393    Fax: 413-536-1087
David L Bogan, M.D.
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Practice Location: 150 Lower Westfield Rd, Ste1, Holyoke, MA 01040
Phone: 413-536-2393    Fax: 413-536-1087
Jacqueline Spain, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 230 Maple St, Holyoke, MA 01040
Phone: 413-420-2200    Fax: 413-420-2260
Victoria L. Pillard, M.D.
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Medicare: Medicare Enrolled
Practice Location: 150 Lower Westfield Rd, Ste1, Holyoke, MA 01040
Phone: 413-536-2393    Fax: 413-536-1087
Erica H Kates, M.D.
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Medicare: Medicare Enrolled
Practice Location: 150 Lower Westfield Rd Ste 1, Holyoke, MA 01040
Phone: 413-536-2393    Fax: 413-536-1087
Anne E Nugent, M.D.
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Medicare: Medicare Enrolled
Practice Location: 230 Maple St, Holyoke, MA 01040
Phone: 413-420-2200    Fax: 413-536-8712

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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