Dr Andrea Boss Mccullough, MD is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Snellville, Georgia. Her current practice location is
1700 Tree Ln Ste 300, Snellville, Georgia. You can reach out to her office (for appointments etc.) via phone at
(678) 205-4299.
Dr Andrea Boss Mccullough is licensed to practice in Georgia (license number 101352) 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 1063073831.
Physician's Profile
| Full Name | Dr Andrea Boss Mccullough |
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| Gender | Female |
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| Speciality | Physical Medicine & Rehabilitation |
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| Location | 1700 Tree Ln Ste 300, Snellville, Georgia |
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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: 1063073831
- Provider Enumeration Date: 06/24/2019
- Last Update Date: 09/25/2024
Medicare PECOS Information:
- PECOS PAC ID: 5294198602
- Enrollment ID: I20230901001862
Medical Identifiers
Medical identifiers for Dr Andrea Boss Mccullough such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1063073831 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208100000X | Physical Medicine & Rehabilitation | 101352 (Georgia) | 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 Andrea Boss Mccullough allows following entities to bill medicare on her behalf.
| Entity Name | Washington University |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1679516033
PECOS PAC ID: 9830008770
Enrollment ID: O20040420000704 |
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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 Andrea Boss 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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Dr Andrea Boss Mccullough, MD
900 Circle 75 Pkwy Se Ste 1700,
Atlanta, GA 30339-3087
Ph: (770) 953-6929 | Dr Andrea Boss Mccullough, MD
1700 Tree Ln Ste 300,
Snellville, GA 30078-6747
Ph: (678) 205-4299 |
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