Dr Andre Levester Mccollough, MD in Mishawaka, IN

Dr Andre Levester Mccollough, MD is a medicare enrolled "Internal Medicine" physician in Mishawaka, Indiana. His current practice location is 4455 Edison Lakes Pkwy, Mishawaka, Indiana. You can reach out to his office (for appointments etc.) via phone at (574) 231-6134.

Dr Andre Levester Mccollough is licensed to practice in New York (license number 281409) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1316294200.

Contact Information

	Dr Andre Levester Mccollough, MD
	4455 Edison Lakes Pkwy, Mishawaka, IN 46545-1414
	(574) 231-6134
	(574) 231-6845

Map and Direction

Physician's Profile

Full Name	Dr Andre Levester Mccollough
Gender	Male
Speciality	Internal Medicine
Location	4455 Edison Lakes Pkwy, Mishawaka, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316294200
Provider Enumeration Date: 08/09/2012
Last Update Date: 10/10/2019

Medicare PECOS Information:

PECOS PAC ID: 4587964549
Enrollment ID: I20151123001727

Medical Identifiers

Medical identifiers for Dr Andre Levester Mccollough such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316294200	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	01078115A (Indiana)	Secondary
207R00000X	Internal Medicine	281409 (New York)	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. Dr Andre Levester Mccollough allows following entities to bill medicare on his behalf.

Entity Name	Cogent Medical Care Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912941238 PECOS PAC ID: 7315836780 Enrollment ID: O20040312001215

Entity Name	St Joseph's Physician Health Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154376770 PECOS PAC ID: 9436041431 Enrollment ID: O20040325001159

Entity Name	Apogee Medical Group, New York, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841520236 PECOS PAC ID: 4587793294 Enrollment ID: O20100518000664

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 Andre Levester Mccollough 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
Dr Andre Levester Mccollough, MD 623 Macon St, Apt 3, Brooklyn, NY 11233-1515 Ph: (646) 251-8679	Dr Andre Levester Mccollough, MD 4455 Edison Lakes Pkwy, Mishawaka, IN 46545-1414 Ph: (574) 231-6134

Reviews and Comments

Internal Medicine Doctors in Mishawaka, IN

Mini Sra, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5215 Holy Cross Pkwy, Mishawaka, IN 46545 Phone: 574-335-2521 Fax: 574-335-2262
Rafat H Ansari, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5340 Holy Cross Pkwy, Mishawaka, IN 46545 Phone: 574-234-5123 Fax: 574-282-2813
Dr. Elizabeth Marie Lauber, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5215 Holy Cross Pkwy, Mishawaka, IN 46545 Phone: 574-335-2521 Fax: 574-335-2262
Margaret Ann Quate-operacz, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3665 Park Pl W, Suite 300, Mishawaka, IN 46545 Phone: 574-607-4724 Fax: 574-607-4725
Dr. Sayuri Cheruvu, M.B.,B.S Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5340 Holy Cross Pkwy, Mishawaka, IN 46545 Phone: 574-237-1328 Fax: 574-237-1348
Anandkumar M Koyani, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 303 S Main St, Suite 109, Mishawaka, IN 46544 Phone: 574-256-0235 Fax: 574-256-0236
Dr. Yufeng Kevin Wu, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 301 E Day Rd, Ste 200, Mishawaka, IN 46545 Phone: 574-204-7252 Fax: 574-968-0468

Dr Andre Levester Mccollough, MD - Medicare Internal Medicine in Mishawaka, IN