Autumn Cullison, RN in Decatur, IL - Medicare Nurse Anesthetist, Certified Registered

Autumn Cullison, RN is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Decatur, Illinois. Her current practice location is 1800 E Lake Shore Dr, Decatur, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 464-2966.

Autumn Cullison is licensed to practice in Illinois (license number 209028286) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1245959667.

Contact Information

	Autumn Cullison, RN
	1800 E Lake Shore Dr, Decatur, IL 62521-3810
	(217) 464-2966
	Not Available

Map and Direction

Provider's Profile

Full Name	Autumn Cullison
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	1800 E Lake Shore Dr, Decatur, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245959667
Provider Enumeration Date: 08/29/2022
Last Update Date: 09/20/2023

Medicare PECOS Information:

PECOS PAC ID: 4183078553
Enrollment ID: I20231004000854

Medical Identifiers

Medical identifiers for Autumn Cullison such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245959667	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	209028286 (Illinois)	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. Autumn Cullison allows following entities to bill medicare on her behalf.

Entity Name	North American Partners In Anesthesia Illinois Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699032524 PECOS PAC ID: 1052576519 Enrollment ID: O20120706000534

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. Autumn Cullison 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
Autumn Cullison, RN 23453 Covered Bridge Rd, Athens, IL 62613-7606 Ph: () -	Autumn Cullison, RN 1800 E Lake Shore Dr, Decatur, IL 62521-3810 Ph: (217) 464-2966

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Decatur, IL

Cullen Whicker, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2300 N Edward St, Decatur, IL 62526 Phone: 217-876-2575
Janet L Gaither, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 899 E Lake Shore Dr Apt 2c, Decatur, IL 62521 Phone: 217-428-7596 Fax: 217-788-7071
Brittney L Jeffery, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2300 N Edward St, Decatur, IL 62526 Phone: 217-876-2275 Fax: 217-876-2281
Mrs. Lindsay Beth Beery, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2300 N Edward St, Decatur, IL 62526 Phone: 217-876-8121 Fax: 217-876-2261
Mary A Beam, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1800 E Lake Shore Dr, Decatur, IL 62521 Phone: 217-464-2729 Fax: 217-464-1693
Chelsey M Clark, DNP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2300 N Edward St, Decatur, IL 62526 Phone: 217-876-8121
Katherine Ann Fergin, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2300 N Edward, Decatur, IL 62526 Phone: 217-876-8121 Fax: 217-876-2261

Autumn Cullison, RN - Medicare Nurse Anesthetist, Certified Registered in Decatur, IL