Kevan Patrick Mccullum, APRN in Louisville, KY

Kevan Patrick Mccullum, APRN is a medicare enrolled "Nurse Practitioner - Family" in Louisville, Kentucky. He graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Community Medical Associates Inc and his current practice location is 908 Dupont Rd, Louisville, Kentucky. You can reach out to his office (for appointments etc.) via phone at (502) 749-7909.

Kevan Patrick Mccullum is licensed to practice in Kentucky (license number 3015146) 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 1114533825.

Contact Information

	Kevan Patrick Mccullum, APRN
	908 Dupont Rd, Louisville, KY 40207-4602
	(502) 749-7909
	Not Available

Map and Direction

Provider's Profile

Full Name	Kevan Patrick Mccullum
Gender	Male
Speciality	Nurse Practitioner
Experience	4 Years
Location	908 Dupont Rd, Louisville, Kentucky
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:

Kevan Patrick Mccullum graduated from nursing school in 2020

NPI Data:

NPI Number: 1114533825
Provider Enumeration Date: 09/17/2020
Last Update Date: 09/22/2020

Medicare PECOS Information:

PECOS PAC ID: 4486074929
Enrollment ID: I20201021002687

Medical Identifiers

Medical identifiers for Kevan Patrick Mccullum such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114533825	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	3015146 (Kentucky)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Norton Hospitals, Inc	Louisville, KY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Community Medical Associates Inc	7012811284	1179

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. Kevan Patrick Mccullum allows following entities to bill medicare on his behalf.

Entity Name	Community Medical Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588614994 PECOS PAC ID: 7012811284 Enrollment ID: O20031120000656

Entity Name	University Of Louisville Physicians Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366722316 PECOS PAC ID: 3476725599 Enrollment ID: O20111017000036

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. Kevan Patrick Mccullum 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
Kevan Patrick Mccullum, APRN Po Box 909, Louisville, KY 40201-0909 Ph: () -	Kevan Patrick Mccullum, APRN 908 Dupont Rd, Louisville, KY 40207-4602 Ph: (502) 749-7909

Reviews and Comments

Nurse Practitioner Nurses in Louisville, KY

Jacob William Harvey Jr., APRN-FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 516 W Breckinridge St, Louisville, KY 40203 Phone: 502-648-7909
Harold Dean O'brien, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1357 Bardstown Rd, Louisville, KY 40204 Phone: 502-897-6443 Fax: 502-897-3461
Tricia L. Flake, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4402 Churchman Ave, Suite 410, Louisville, KY 40215 Phone: 502-367-6322 Fax: 502-380-3843
Aimee Christine Mihalyov, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 400 E Gray St, Louisville, KY 40202 Phone: 502-574-6617 Fax: 502-574-8666
Amanda Danielle Saccone, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1930 Bishop Ln Fl 12, Louisville, KY 40218 Phone: 502-272-5220 Fax: 502-272-5117
Celaida Lezcano, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 234 E Gray St Ste 670, Louisville, KY 40202 Phone: 502-629-4525 Fax: 502-629-4529
Victoria Jean Shipman, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 315 E Broadway Fl 4, Louisville, KY 40202 Phone: 502-629-2500

Kevan Patrick Mccullum, APRN - Medicare Nurse Practitioner in Louisville, KY