Timothy Mccullough, MD is a medicare enrolled "Emergency Medicine" physician in Troy, Missouri. His current practice location is
1000 E Cherry St, Troy, Missouri. You can reach out to his office (for appointments etc.) via phone at
(636) 528-3221.
Timothy Mccullough is licensed to practice in Missouri (license number R3L73) 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 1275528184.
Physician's Profile
Full Name | Timothy Mccullough |
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Gender | Male |
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Speciality | Emergency Medicine |
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Location | 1000 E Cherry St, Troy, Missouri |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1275528184
- Provider Enumeration Date: 09/16/2005
- Last Update Date: 12/06/2007
Medicare PECOS Information:
- PECOS PAC ID: 4385618099
- Enrollment ID: I20101112001026
Medical Identifiers
Medical identifiers for Timothy Mccullough such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1275528184 | NPI | - | NPPES |
206007619 | Medicaid | MO | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | R3L73 (Missouri) | 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. Timothy Mccullough allows following entities to bill medicare on his behalf.
Entity Name | Southeastern Emergency Physicians Of Memphis Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1437105277 PECOS PAC ID: 5395643209 Enrollment ID: O20150520001245 |
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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. Timothy 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 |
Timothy Mccullough, MD Po Box 790129, Dept Ec, Saint Louis, MO 63179-0129 Ph: (800) 968-6866 | Timothy Mccullough, MD 1000 E Cherry St, Troy, MO 63379-1513 Ph: (636) 528-3221 |
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