Michael Allen Mccullough, PHD, NP-BC, AP-RN in Fayetteville, GA

Michael Allen Mccullough, PHD, NP-BC, AP-RN is a medicare enrolled "Nurse Practitioner - Family" in Fayetteville, Georgia. His current practice location is 101 Yorktown Dr, Fayetteville, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 460-4075.

Michael Allen Mccullough is licensed to practice in Georgia (license number RN057553NP) 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 1316298870.

Contact Information

	Michael Allen Mccullough, PHD, NP-BC, AP-RN
	101 Yorktown Dr, Fayetteville, GA 30214-1578
	(770) 460-4075
	Not Available

Map and Direction

Provider's Profile

Full Name	Michael Allen Mccullough
Gender	Male
Speciality	Nurse Practitioner - Family
Location	101 Yorktown Dr, Fayetteville, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316298870
Provider Enumeration Date: 09/25/2012
Last Update Date: 09/25/2012

Medicare PECOS Information:

PECOS PAC ID: 6204888365
Enrollment ID: I20121017000063

Medical Identifiers

Medical identifiers for Michael Allen Mccullough such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316298870	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	RN057553NP (Georgia)	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. Michael Allen Mccullough allows following entities to bill medicare on his behalf.

Entity Name	Coweta Emergency Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245556588 PECOS PAC ID: 5395876452 Enrollment ID: O20100706000634

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. Michael Allen 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
Michael Allen Mccullough, PHD, NP-BC, AP-RN 101 Yorktown Dr, Fayetteville, GA 30214-1578 Ph: (770) 460-4075	Michael Allen Mccullough, PHD, NP-BC, AP-RN 101 Yorktown Dr, Fayetteville, GA 30214-1578 Ph: (770) 460-4075

Reviews and Comments

Nurse Practitioner Nurses in Fayetteville, GA

Ms. Philicia Duncan, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 735 Glynn Street South, Fayetteville, GA 30214 Phone: 770-461-4126
Brittney Shay Pasko, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1267 Highway 54 W Ste 2200, Fayetteville, GA 30214 Phone: 770-719-0051 Fax: 770-716-0087
Angela Miller, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1255 Highway 54 W, Fayetteville, GA 30214 Phone: 770-719-6799 Fax: 770-719-6059
Eleasa Milano, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 130 Heatherden Ave, Fayetteville, GA 30214 Phone: 808-446-4609
Erin Dee Smith, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1336 Highway 54 W Bldg 500, Fayetteville, GA 30214 Phone: 770-461-1238
Mrs. Ashley Miller, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1240 Highway 54 W Ste 602, Fayetteville, GA 30214 Phone: 678-971-4167 Fax: 833-989-2501
Omolola Otubaga, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 Beckett Ln, Ste. 304, Fayetteville, GA 30214 Phone: 770-703-4448 Fax: 770-703-4038

Michael Allen Mccullough, PHD, NP-BC, AP-RN - Medicare Nurse Practitioner in Fayetteville, GA