Martha Lynn Mccollough, MD in Tyler, TX

Martha Lynn Mccollough, MD is a medicare enrolled "Dermatology" physician in Tyler, Texas. She went to Temple University School Of Medicine and graduated in 1979 and has 45 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Oliver Street 5.01(a) Inc, Oliver Street 5.01(a) Inc and her current practice location is 1367 Dominion Plaza, Tyler, Texas. You can reach out to her office (for appointments etc.) via phone at (903) 534-6200.

Martha Lynn Mccollough is licensed to practice in Texas (license number J5401) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1972530954.

Contact Information

	Martha Lynn Mccollough, MD
	1367 Dominion Plaza, Tyler, TX 75703-1013
	(903) 534-6200
	Not Available

Map and Direction

Physician's Profile

Full Name	Martha Lynn Mccollough
Gender	Female
Speciality	Dermatology
Experience	45 Years
Location	1367 Dominion Plaza, Tyler, Texas
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Martha Lynn Mccollough attended and graduated from Temple University School Of Medicine in 1979

NPI Data:

NPI Number: 1972530954
Provider Enumeration Date: 06/27/2006
Last Update Date: 05/22/2008

Medicare PECOS Information:

PECOS PAC ID: 5698801637
Enrollment ID: I20100330000431

Medical Identifiers

Medical identifiers for Martha Lynn Mccollough such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972530954	NPI	-	NPPES
85Z813	Other	TX	BLUE CROSS AND BLUE SHIELD PATHOLOGY
044554601	Medicaid	TX
070012699	Other	TX	RAILROAD MEDICARE PTAN
8A2686	Other	TX	BLUE CROSS AND BLUE SHIELD CLINIC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	J5401 (Texas)	Primary
207ND0900X	Dermatology - Dermatopathology	J5401 (Texas)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Oliver Street 5.01(a) Inc	0042464125	144
Oliver Street 5.01(a) Inc	0042464125	144

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. Martha Lynn Mccollough allows following entities to bill medicare on her behalf.

Entity Name	Oliver Street 5.01(a) Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457695413 PECOS PAC ID: 0042464125 Enrollment ID: O20130128000189

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. Martha Lynn Mccollough 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
Martha Lynn Mccollough, MD 1367 Dominion Plaza, Tyler, TX 75703-1013 Ph: () -	Martha Lynn Mccollough, MD 1367 Dominion Plaza, Tyler, TX 75703-1013 Ph: (903) 534-6200

Reviews and Comments

Dermatology Doctors in Tyler, TX

Shanna Burris Meads, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1367 Dominion Plz, Tyler, TX 75703 Phone: 903-534-6200
Stephen John Beck, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1367 Dominion Plz, Tyler, TX 75703 Phone: 903-534-6200 Fax: 903-939-0755
Bradley Scott Graham, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1367 Dominion Plaza, Tyler, TX 75703 Phone: 903-534-6200
Alma Criseida Berlingeri Ramos, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1367 Dominion Plz, Tyler, TX 75703 Phone: 903-534-6200 Fax: 903-939-0755
Elizabeth Stripling Morris, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1367 Dominion Plaza, Tyler, TX 75703 Phone: 903-534-6200
Lawrence Lazelle Anderson, MD Dermatology Medicare: Medicare Enrolled Practice Location: 1367 Dominion Plaza, Tyler, TX 75703 Phone: 903-534-6200
Thomas Lambert Jr., MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 5791 Copeland Rd, Tyler, TX 75703 Phone: 903-509-2020

Martha Lynn Mccollough, MD - Medicare Dermatology in Tyler, TX