Jessica Mccullough, PA-C is a medicare enrolled "Physician Assistant" in New Brighton, Pennsylvania. Her current practice location is
1030 3rd Avenue, New Brighton, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(724) 770-4050.
Jessica Mccullough is licensed to practice in Pennsylvania (license number OA004756) 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 1831654367.
Provider's Profile
Full Name | Jessica Mccullough |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 1030 3rd Avenue, New Brighton, Pennsylvania |
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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: 1831654367
- Provider Enumeration Date: 02/08/2019
- Last Update Date: 07/11/2022
Medicare PECOS Information:
- PECOS PAC ID: 3577806140
- Enrollment ID: I20190522001832
Medical Identifiers
Medical identifiers for Jessica Mccullough such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1831654367 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | OA004756 (Pennsylvania) | Primary |
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. Jessica 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 |
Jessica Mccullough, PA-C 1030 Third Avenue, New Brighton, PA 15066 Ph: () - | Jessica Mccullough, PA-C 1030 3rd Avenue, New Brighton, PA 15066 Ph: (724) 770-4050 |
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