Dr Chloe Melissa Mcculloch, MD is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Greeley, Colorado. Her current practice location is
2410 W 16th St, Greeley, Colorado. You can reach out to her office (for appointments etc.) via phone at
(970) 810-6167.
Dr Chloe Melissa Mcculloch is licensed to practice in Colorado (license number DR.0049373) 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 1306058599.
Physician's Profile
| Full Name | Dr Chloe Melissa Mcculloch |
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| Gender | Female |
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| Speciality | Pain Medicine - Interventional Pain Medicine |
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| Location | 2410 W 16th St, Greeley, Colorado |
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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: 1306058599
- Provider Enumeration Date: 05/03/2007
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 8921236639
- Enrollment ID: I20131231001896
Medical Identifiers
Medical identifiers for Dr Chloe Melissa Mcculloch such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1306058599 | NPI | - | NPPES |
| 68083327 | Medicaid | CO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207L00000X | Anesthesiology | DR.0049373 (Colorado) | Secondary |
| 207LP2900X | Anesthesiology - Pain Medicine | DR.0049373 (Colorado) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 01085130A (Indiana) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | DR.0049373 (Colorado) | 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 Chloe Melissa Mcculloch allows following entities to bill medicare on her behalf.
| Entity Name | Boulder Pain Institute Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1639367493
PECOS PAC ID: 3971691320
Enrollment ID: O20071119000128 |
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| Entity Name | Colorado Pain Consultants Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1225391766
PECOS PAC ID: 0446400212
Enrollment ID: O20121101000587 |
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| Entity Name | Colorado Health Providers Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1962860528
PECOS PAC ID: 7214233535
Enrollment ID: O20160314001052 |
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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 Chloe Melissa 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 |
|---|
Dr Chloe Melissa Mcculloch, MD
2620 Mariner Ct,
Colorado Springs, CO 80920-1413
Ph: (216) 965-5566 | Dr Chloe Melissa Mcculloch, MD
2410 W 16th St,
Greeley, CO 80634-6004
Ph: (970) 810-6167 |
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