Drake Hunter Cullum, MD is a medicare enrolled "Internal Medicine" physician in Gravette, Arkansas. His current practice location is
1101 Jackson St Sw, Gravette, Arkansas. You can reach out to his office (for appointments etc.) via phone at
(479) 787-5291.
Drake Hunter Cullum is licensed to practice in Arkansas (license number E-16840) 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 1841829751.
Physician's Profile
| Full Name | Drake Hunter Cullum |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Location | 1101 Jackson St Sw, Gravette, Arkansas |
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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: 1841829751
- Provider Enumeration Date: 04/02/2020
- Last Update Date: 10/17/2023
Medicare PECOS Information:
- PECOS PAC ID: 4284063587
- Enrollment ID: I20230911004278
Medical Identifiers
Medical identifiers for Drake Hunter Cullum such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1841829751 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | E-16840 (Arkansas) | 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. Drake Hunter Cullum allows following entities to bill medicare on his behalf.
| Entity Name | Sgoh Acquisition Inc |
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| Entity Type | Part B Supplier - Hospital Department(s) |
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| Entity Identifiers | NPI Number: 1568643005
PECOS PAC ID: 5092616276
Enrollment ID: O20081016000559 |
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| Entity Name | Sgoh Acquisition Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1568643005
PECOS PAC ID: 5092616276
Enrollment ID: O20190905000100 |
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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. Drake Hunter Cullum 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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Drake Hunter Cullum, MD
1101 Jackson St Sw,
Gravette, AR 72736-9121
Ph: (479) 787-5221 | Drake Hunter Cullum, MD
1101 Jackson St Sw,
Gravette, AR 72736-9121
Ph: (479) 787-5291 |
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