Kevin Michael Mccullough, PA-C is a medicare enrolled "Physician Assistant" in Fort Nill, South Carolina. He graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Orthocarolina, Pa, Orthocarolina, Pa and his current practice location is
601 S Sutton Rd, Ste 101, Fort Nill, South Carolina. You can reach out to his office (for appointments etc.) via phone at
(803) 328-6306.
Kevin Michael Mccullough is licensed to practice in South Carolina (license number 4394) 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 1285147793.
Provider's Profile
| Full Name | Kevin Michael Mccullough |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 7 Years |
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| Location | 601 S Sutton Rd, Fort Nill, South Carolina |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kevin Michael Mccullough graduated from nursing school in 2017
NPI Data:
- NPI Number: 1285147793
- Provider Enumeration Date: 11/07/2017
- Last Update Date: 10/20/2023
Medicare PECOS Information:
- PECOS PAC ID: 9032470547
- Enrollment ID: I20180226000860
Medical Identifiers
Medical identifiers for Kevin Michael Mccullough such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1285147793 | NPI | - | NPPES |
| 3507PA | Medicaid | SC | |
| 1285147793 | Medicaid | NC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 0010-07689 (North Carolina) | Secondary |
| 363A00000X | Physician Assistant | 4394 (South Carolina) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Orthocarolina, Pa | 2062316821 | 431 |
| Orthocarolina, Pa | 2062316821 | 431 |
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. Kevin Michael 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 |
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Kevin Michael Mccullough, PA-C
4601 Park Rd Ste 300,
Charlotte, NC 28209-2290
Ph: () - | Kevin Michael Mccullough, PA-C
601 S Sutton Rd, Ste 101,
Fort Nill, SC 29715
Ph: (803) 328-6306 |
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