Dr Allen Wilson Mcculloch, MD is a medicare enrolled "Urology" physician in Farmington, New Mexico. He went to University Of New Mexico School Of Medicine and graduated in 1983 and has 42 years of diverse experience with area of expertise as Urology. He is a member of the group practice Adult And Pediatric Urology, Llc and his current practice location is
2300 E 30th, Bldg B Suite 106, Farmington, New Mexico. You can reach out to his office (for appointments etc.) via phone at
(505) 327-9111.
Dr Allen Wilson Mcculloch is licensed to practice in New Mexico (license number 87 115) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1881778215.
Physician's Profile
| Full Name | Dr Allen Wilson Mcculloch |
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| Gender | Male |
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| Speciality | Urology |
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| Experience | 42 Years |
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| Location | 2300 E 30th, Farmington, New Mexico |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Allen Wilson Mcculloch attended and graduated from University Of New Mexico School Of Medicine in 1983
NPI Data:
- NPI Number: 1881778215
- Provider Enumeration Date: 10/24/2006
- Last Update Date: 06/18/2013
Medicare PECOS Information:
- PECOS PAC ID: 7113830969
- Enrollment ID: I20091214000778
Medical Identifiers
Medical identifiers for Dr Allen Wilson Mcculloch such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1881778215 | NPI | - | NPPES |
| 11338 | Medicaid | NM | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208800000X | Urology | 87 115 (New Mexico) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Adult And Pediatric Urology, Llc | 8325186521 | 2 |
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. Dr Allen Wilson Mcculloch allows following entities to bill medicare on his behalf.
| Entity Name | Adult & Pediatric Urology, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1710190350
PECOS PAC ID: 8325186521
Enrollment ID: O20091109000478 |
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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. Dr Allen Wilson 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 |
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Dr Allen Wilson Mcculloch, MD
Po Box 1529, 2300 E 30th Bldg B Suite 106,
Farmington, NM 87401
Ph: (505) 327-9111 | Dr Allen Wilson Mcculloch, MD
2300 E 30th, Bldg B Suite 106,
Farmington, NM 87401
Ph: (505) 327-9111 |
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