Mr John C Gullage, PA-C - Medicare Physician Assistant in Lebanon, MO

Mr John C Gullage, PA-C is a medicare enrolled "Physician Assistant - Surgical" in Lebanon, Missouri. His current practice location is 331 Hospital Dr Ste A, Lebanon, Missouri. You can reach out to his office (for appointments etc.) via phone at (417) 533-6560.

Mr John C Gullage is licensed to practice in Missouri (license number 2013029322) 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 1558399923.

Contact Information

Mr John C Gullage, PA-C
331 Hospital Dr Ste A,
Lebanon, MO 65536-9251
(417) 533-6560
Not Available

Map and Direction




Provider's Profile

Full NameMr John C Gullage
GenderMale
SpecialityPhysician Assistant - Surgical
Location331 Hospital Dr Ste A, Lebanon, Missouri
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1558399923
  • Provider Enumeration Date: 06/28/2006
  • Last Update Date: 03/17/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 1456334283
  • Enrollment ID: I20040611000271

Medical Identifiers

Medical identifiers for Mr John C Gullage such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558399923NPI-NPPES
132300404OtherMOMEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AS0400XPhysician Assistant - Surgical PA10002052 (Washington)Secondary
363AS0400XPhysician Assistant - Surgical 1999 (Nebraska)Secondary
363AS0400XPhysician Assistant - Surgical 2013029322 (Missouri)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. Mr John C Gullage 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 AddressPractice Location Address
Mr John C Gullage, PA-C
331 Hospital Dr Ste A,
Lebanon, MO 65536-9251

Ph: (417) 533-6560
Mr John C Gullage, PA-C
331 Hospital Dr Ste A,
Lebanon, MO 65536-9251

Ph: (417) 533-6560

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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