Kevin Mccullum, MD - Medicare Family Practice in Plattsburgh, NY

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Kevin Mccullum, MD is a medicare enrolled "Family Medicine" physician in Plattsburgh, New York. He went to Rutgers R W Johnson Medical School (cam/new Bruns/pisc) and graduated in 1984 and has 40 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Champlain Valley Physicians Hospital Medical Center, Cgsr Inc and his current practice location is 96 Court St, Plattsburgh, New York. You can reach out to his office (for appointments etc.) via phone at (518) 562-1080.

Kevin Mccullum is licensed to practice in New York (license number 164868) 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 1063518975.

Contact Information

Kevin Mccullum, MD
96 Court St,
Plattsburgh, NY 12901-2733
(518) 562-1080
(518) 562-3316

Map and Direction




Physician's Profile

Full NameKevin Mccullum
GenderMale
SpecialityFamily Practice
Experience40 Years
Location96 Court St, Plattsburgh, New York
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:
  • Kevin Mccullum attended and graduated from Rutgers R W Johnson Medical School (cam/new Bruns/pisc) in 1984
  NPI Data:
  • NPI Number: 1063518975
  • Provider Enumeration Date: 09/16/2006
  • Last Update Date: 02/18/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 2264563048
  • Enrollment ID: I20100622000668

Medical Identifiers

Medical identifiers for Kevin Mccullum such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063518975NPI-NPPES
01279267MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 164868 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Champlain Valley Physicians Hospital Medical CtrPlattsburgh, NYHospital
Meadowbrook HealthcarePlattsburgh, NYNursing home
Champlain Valley Physicians Hosp Med Ctr S N FPlattsburgh, NYNursing home

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Champlain Valley Physicians Hospital Medical Center2769396878239
Cgsr Inc70129002022

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. Kevin Mccullum allows following entities to bill medicare on his behalf.
Entity NameChamplain Valley Physicians Hospital Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124189782
PECOS PAC ID: 2769396878
Enrollment ID: O20031121000623
Entity NameCgsr Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215930292
PECOS PAC ID: 7012900202
Enrollment ID: O20050405000826

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. Kevin Mccullum 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
Kevin Mccullum, MD
154 Prospect Ave,
Plattsburgh, NY 12901-1302

Ph: (518) 563-5440		Kevin Mccullum, MD
96 Court St,
Plattsburgh, NY 12901-2733

Ph: (518) 562-1080

Reviews and Comments


Family Medicine Doctors in Plattsburgh, NY

Dr. Nader Wassef, M.D.
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Phone: 518-561-1603    Fax: 518-561-0179
Lindsey Brooke Wilhelm, D.O.
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Practice Location: 159 Margaret St, Suite 100, Plattsburgh, NY 12901
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Dr. Richard J. D'amico, D.O.
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Practice Location: 74 Margaret St, Plattsburgh, NY 12901
Phone: 518-324-3074    Fax: 518-324-3077
Maegan Boulerice Cabrera, M.D.
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Practice Location: 159 Margaret St, Suite 100, Plattsburgh, NY 12901
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Rachelle A Grad, MD
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Practice Location: 87 Plaza Blvd, Plattsburgh, NY 12901
Phone: 518-536-7060    Fax: 518-536-7075
Dr. Tracy S Orkin, D.O.
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Practice Location: 16 Degrandpre Way, Suite 300, Plattsburgh, NY 12901
Phone: 518-561-8256    

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.