Michael Mccullough I, in Fresno, CA - Medicare Emergency Medicine

Michael Mccullough I, is a medicare enrolled "Emergency Medicine" physician in Fresno, California. His current practice location is 2823 Fresno St, Fresno, California. You can reach out to his office (for appointments etc.) via phone at (559) 459-6000.

Michael Mccullough I is licensed to practice in California (license number A63113) 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 1255448122.

Contact Information

	Michael Mccullough I,
	2823 Fresno St, Fresno, CA 93721-1324
	(559) 459-6000
	Not Available

Map and Direction

Physician's Profile

Full Name	Michael Mccullough I
Gender	Male
Speciality	Emergency Medicine
Location	2823 Fresno St, Fresno, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255448122
Provider Enumeration Date: 08/24/2006
Last Update Date: 05/15/2015

Medicare PECOS Information:

PECOS PAC ID: 9638152143
Enrollment ID: I20040607001557

Medical Identifiers

Medical identifiers for Michael Mccullough I such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255448122	NPI	-	NPPES
00A631130	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	A63113 (California)	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. Michael Mccullough I allows following entities to bill medicare on his behalf.

Entity Name	County Of Santa Clara
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699885079 PECOS PAC ID: 1254244973 Enrollment ID: O20040113000784

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. Michael Mccullough I 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
Michael Mccullough I, 1824 Oak Creek Dr, # 308, Palo Alto, CA 94304-2158 Ph: () -	Michael Mccullough I, 2823 Fresno St, Fresno, CA 93721-1324 Ph: (559) 459-6000

Reviews and Comments

Emergency Medicine Doctors in Fresno, CA

Michelle Lea Storkan, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2823 Fresno St, Fresno, CA 93721 Phone: 559-499-6440
Harminder S Longia, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2615 E Clinton Ave, Fresno, CA 93703 Phone: 559-225-6100
Dr. Jessie Werner, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2823 Fresno St, Fresno, CA 93721 Phone: 559-499-6440
Joanna Burnett Watterson, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2823 Fresno St, Fresno, CA 93721 Phone: 559-459-6000
Megann Forrest Young, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2823 Fresno St, Fresno, CA 93721 Phone: 559-499-6440 Fax: 559-499-6441
Geoffrey R Stroh, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2823 Fresno St, Fresno, CA 93721 Phone: 559-499-6440 Fax: 559-499-6441
Marc Stanley Shalit, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2823 Fresno St, Fresno, CA 93721 Phone: 559-499-6439 Fax: 559-499-6441

Michael Mccullough I, - Medicare Emergency Medicine in Fresno, CA