John A Culp, MD - Medicare Family Practice in Janesville, WI

John A Culp, MD is a medicare enrolled "Emergency Medicine" physician in Janesville, Wisconsin. He went to Indiana University School Of Medicine and graduated in 2004 and has 20 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Sauk Prairie Healthcare Inc and his current practice location is 1446 N Randall Ave, Janesville, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (608) 852-5154.

John A Culp is licensed to practice in Wisconsin (license number 4957820) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1497792139.

Contact Information

John A Culp, MD
1446 N Randall Ave,
Janesville, WI 53545-1122
(608) 852-5154
Not Available

Map and Direction




Physician's Profile

Full NameJohn A Culp
GenderMale
SpecialityFamily Practice
Experience20 Years
Location1446 N Randall Ave, Janesville, Wisconsin
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • John A Culp attended and graduated from Indiana University School Of Medicine in 2004
  NPI Data:
  • NPI Number: 1497792139
  • Provider Enumeration Date: 06/01/2006
  • Last Update Date: 11/28/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9931108081
  • Enrollment ID: I20061219000068

Medical Identifiers

Medical identifiers for John A Culp such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1497792139NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207PE0004XEmergency Medicine - Emergency Medical Services 4957820 (Wisconsin)Secondary
207P00000XEmergency Medicine 4957820 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Sauk Prairie HospitalPrairie du sac, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sauk Prairie Healthcare Inc822494805481

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. John A Culp allows following entities to bill medicare on his behalf.
Entity NameSauk Prairie Healthcare Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861466153
PECOS PAC ID: 8224948054
Enrollment ID: O20031208000206
Entity NameAspirus Medford Hospital & Clinics Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285703173
PECOS PAC ID: 5799688602
Enrollment ID: O20040129000007
Entity NamePivotal Health, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508465220
PECOS PAC ID: 5496159782
Enrollment ID: O20210809002587

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. John A Culp 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 AddressPractice Location Address
John A Culp, MD
3810 Birch Ave,
Madison, WI 53711-1744

Ph: (608) 852-5154
John A Culp, MD
1446 N Randall Ave,
Janesville, WI 53545-1122

Ph: (608) 852-5154

Reviews and Comments


Emergency Medicine Doctors in Janesville, WI

Michael J. Hartmann, MD
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Dr. Michael V Coogan, MD
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Sean William Marquis, MD
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Dr. Karl A Nibbelink, MD
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Christopher M. Koenig, DO
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Dr. Martin Fedko,
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Medicare: Medicare Enrolled
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Phone: 608-756-6611    Fax: 608-756-6177
Stephen L Merrill, MD
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Practice Location: 3524 E Milwaukee St, Janesville, WI 53546
Phone: 608-756-7100    Fax: 608-756-4700

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.