Mathew R Mccullough, PA-C is a medicare enrolled "Physician Assistant - Medical" physician in Delta, Colorado. He graduated from medical school in 2019 and has 5 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Olathe Community Clinic Inc and his current practice location is
1250 Valley View Dr, Delta, Colorado. You can reach out to his office (for appointments etc.) via phone at
(970) 874-8981.
Mathew R Mccullough is licensed to practice in Colorado (license number PA.0006103) 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 1184189425.
Physician's Profile
| Full Name | Mathew R Mccullough |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 5 Years |
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| Location | 1250 Valley View Dr, Delta, Colorado |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mathew R Mccullough graduated from medical school in 2019
NPI Data:
- NPI Number: 1184189425
- Provider Enumeration Date: 01/31/2019
- Last Update Date: 01/03/2024
Medicare PECOS Information:
- PECOS PAC ID: 5092145508
- Enrollment ID: I20200424001281
Medical Identifiers
Medical identifiers for Mathew R Mccullough such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1184189425 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | PA.0006103 (Colorado) | Secondary |
| 363AM0700X | Physician Assistant - Medical | PA.0006103 (Colorado) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Olathe Community Clinic Inc | 5395998744 | 17 |
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. Mathew R Mccullough 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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Mathew R Mccullough, PA-C
Po Box 529,
Olathe, CO 81425-0529
Ph: (970) 323-6141 | Mathew R Mccullough, PA-C
1250 Valley View Dr,
Delta, CO 81416-3138
Ph: (970) 874-8981 |
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