Dr Phyllis Anne Cullen, MD is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Hilo, Hawaii. Her current practice location is
1437 Kilauea Ave, Suite 103, Hilo, Hawaii. You can reach out to her office (for appointments etc.) via phone at
(808) 498-4160.
Dr Phyllis Anne Cullen is licensed to practice in Hawaii (license number MD 17298) 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 1356309181.
Physician's Profile
| Full Name | Dr Phyllis Anne Cullen |
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| Gender | Female |
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| Speciality | Pain Medicine - Interventional Pain Medicine |
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| Location | 1437 Kilauea Ave, Hilo, Hawaii |
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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: 1356309181
- Provider Enumeration Date: 05/02/2006
- Last Update Date: 01/20/2015
Medicare PECOS Information:
- PECOS PAC ID: 8123109162
- Enrollment ID: I20160512001231
Medical Identifiers
Medical identifiers for Dr Phyllis Anne Cullen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1356309181 | NPI | - | NPPES |
| 00G324030 | Medicaid | CA | |
| ZZZ06195Z | Other | CA | MEDICARE GROUP PTAN |
| 00G324032 | Other | CA | MEDICARE INDIVIDUAL PTAN |
| 1881883320 | Other | CA | MEDICARE GROUP NPI |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | G32403 (California) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | MD 17298 (Hawaii) | 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 Phyllis Anne Cullen allows following entities to bill medicare on her behalf.
| Entity Name | Pec Anesthesia Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1528305208
PECOS PAC ID: 3870748023
Enrollment ID: O20130220000025 |
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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 Phyllis Anne Cullen 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 Phyllis Anne Cullen, MD
Po Box 1477,
Hilo, HI 96721-1477
Ph: (530) 895-3287 | Dr Phyllis Anne Cullen, MD
1437 Kilauea Ave, Suite 103,
Hilo, HI 96720-4200
Ph: (808) 498-4160 |
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