Cullen Todd Mezger, MSN, APRN, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Corrigan, Texas. His current practice location is
647 Piney Creek Sub, Corrigan, Texas. You can reach out to his office (for appointments etc.) via phone at
(936) 225-0072.
Cullen Todd Mezger is licensed to practice in Texas (license number 1095400) 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 1114641677.
Provider's Profile
| Full Name | Cullen Todd Mezger |
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| Gender | Male |
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| Speciality | Nurse Practitioner - Family |
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| Location | 647 Piney Creek Sub, Corrigan, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1114641677
- Provider Enumeration Date: 09/28/2022
- Last Update Date: 09/28/2022
Medicare PECOS Information:
- PECOS PAC ID: 6103364351
- Enrollment ID: I20240819002731
Medical Identifiers
Medical identifiers for Cullen Todd Mezger such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1114641677 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 1095400 (Texas) | 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. Cullen Todd Mezger allows following entities to bill medicare on his behalf.
| Entity Name | Lubbock County Hospital District |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1508855578
PECOS PAC ID: 4284617507
Enrollment ID: O20040609000242 |
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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. Cullen Todd Mezger 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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Cullen Todd Mezger, MSN, APRN, FNP-C
647 Piney Creek Sub,
Corrigan, TX 75939-5609
Ph: (936) 225-0072 | Cullen Todd Mezger, MSN, APRN, FNP-C
647 Piney Creek Sub,
Corrigan, TX 75939-5609
Ph: (936) 225-0072 |
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