Ludella Mccullough-lee, in Mesa, AZ - Medicare Nurse Practitioner

Ludella Mccullough-lee, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Mesa, Arizona. Her current practice location is 358 E Javelina Ave, Mesa, Arizona. You can reach out to her office (for appointments etc.) via phone at (480) 507-3180.

Ludella Mccullough-lee is licensed to practice in Arizona (license number 300564) 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 1093409369.

Contact Information

	Ludella Mccullough-lee,
	358 E Javelina Ave, Mesa, AZ 85210-6205
	(480) 507-3180
	Not Available

Map and Direction

Provider's Profile

Full Name	Ludella Mccullough-lee
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	358 E Javelina Ave, Mesa, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093409369
Provider Enumeration Date: 06/08/2023
Last Update Date: 04/26/2024

Medicare PECOS Information:

PECOS PAC ID: 9830549591
Enrollment ID: I20231221002535

Medical Identifiers

Medical identifiers for Ludella Mccullough-lee such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093409369	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	906019 (Mississippi)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	300564 (Arizona)	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. Ludella Mccullough-lee allows following entities to bill medicare on her behalf.

Entity Name	Alliance Healthcare Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295898393 PECOS PAC ID: 4082766621 Enrollment ID: O20090713000696

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. Ludella Mccullough-lee 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
Ludella Mccullough-lee, 8135 Goodman Rd, Olive Branch, MS 38654-2103 Ph: (662) 318-5018	Ludella Mccullough-lee, 358 E Javelina Ave, Mesa, AZ 85210-6205 Ph: (480) 507-3180

Reviews and Comments

Nurse Practitioner Nurses in Mesa, AZ

Aida E Amado, MS, ACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10163 E Jacob Ave, Mesa, AZ 85209 Phone: 480-296-8849
Marilyn Rose Schatz, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6750 E Baywood Ave, Suite 401, Mesa, AZ 85206 Phone: 480-835-7111 Fax: 480-969-9345
Mrs. Krista Ann Roppelt, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3155 E Southern Ave Ste 203, Mesa, AZ 85204 Phone: 480-325-8173 Fax: 480-325-8179
Jennifer Christine Fendler, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 924 N Country Club Dr, Mesa, AZ 85201 Phone: 480-601-3528
Alisha Kristine Holben, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 560 S Bellview, Mesa, AZ 85204 Phone: 276-623-7851
Danielle Marin Hendrickson, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1303 S Longmore, Mesa, AZ 85202 Phone: 480-649-5297
Mari Michelle Hooper, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 646 S Sabrina, Mesa, AZ 85208 Phone: 480-628-8370

Ludella Mccullough-lee, - Medicare Nurse Practitioner in Mesa, AZ