Sumner R Cullom, MD is a medicare enrolled "General Practice" physician in Lepanto, Arkansas. He went to University Of Arkansas College Of Medicine and graduated in 1972 and has 52 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice St Bernards Physician Clinics Inc and his current practice location is
260 W Broad St, Lepanto, Arkansas. You can reach out to his office (for appointments etc.) via phone at
(870) 475-3180.
Sumner R Cullom is licensed to practice in Arkansas (license number ARC4583) 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 1902885015.
Physician's Profile
Full Name | Sumner R Cullom |
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Gender | Male |
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Speciality | Family Practice |
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Experience | 52 Years |
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Location | 260 W Broad St, Lepanto, Arkansas |
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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. |
Medical Education and Training:
- Sumner R Cullom attended and graduated from University Of Arkansas College Of Medicine in 1972
NPI Data:
- NPI Number: 1902885015
- Provider Enumeration Date: 01/17/2006
- Last Update Date: 03/18/2016
Medicare PECOS Information:
- PECOS PAC ID: 4385556364
- Enrollment ID: I20051102000768
Medical Identifiers
Medical identifiers for Sumner R Cullom such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1902885015 | NPI | - | NPPES |
103504001 | Medicaid | AR | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | ARC4583 (Arkansas) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
St Bernards Physician Clinics Inc | 7012311269 | 173 |
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. Sumner R Cullom allows following entities to bill medicare on his behalf.
Entity Name | Doctors Health Group, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1982667895 PECOS PAC ID: 7315844586 Enrollment ID: O20040421001512 |
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Entity Name | Doctors Health Group, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1851867071 PECOS PAC ID: 7315844586 Enrollment ID: O20190104000637 |
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Entity Name | St Bernards Physician Clinics Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1447923438 PECOS PAC ID: 7012311269 Enrollment ID: O20210810001875 |
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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. Sumner R Cullom 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 |
Sumner R Cullom, MD 260 W Broad St, Lepanto, AR 72354-0000 Ph: (870) 475-3180 | Sumner R Cullom, MD 260 W Broad St, Lepanto, AR 72354-0723 Ph: (870) 475-3180 |
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