Mr John L Culiberk, AGNP-C in Jerseyville, IL

Mr John L Culiberk, AGNP-C is a medicare enrolled "Nurse Practitioner - Gerontology" in Jerseyville, Illinois. 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 Trinity Medical Staffing Llc and his current practice location is 400 Maple Summit Rd, Jerseyville, Illinois. You can reach out to his office (for appointments etc.) via phone at (618) 498-6402.

Mr John L Culiberk is licensed to practice in Missouri (license number 2020035384) 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 1407977234.

Contact Information

	Mr John L Culiberk, AGNP-C
	400 Maple Summit Rd, Jerseyville, IL 62052-2028
	(618) 498-6402
	(618) 498-8411

Map and Direction

Provider's Profile

Full Name	Mr John L Culiberk
Gender	Male
Speciality	Nurse Practitioner
Experience	4 Years
Location	400 Maple Summit Rd, Jerseyville, Illinois
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:

Mr John L Culiberk graduated from nursing school in 2020

NPI Data:

NPI Number: 1407977234
Provider Enumeration Date: 04/02/2007
Last Update Date: 03/07/2022

Medicare PECOS Information:

PECOS PAC ID: 0345502043
Enrollment ID: I20220315001137

Medical Identifiers

Medical identifiers for Mr John L Culiberk such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407977234	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	041310653 (Illinois)	Secondary
363LG0600X	Nurse Practitioner - Gerontology	209022246 (Illinois)	Secondary
363LG0600X	Nurse Practitioner - Gerontology	2020035384 (Missouri)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Jersey Community Hospital	Jerseyville, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Trinity Medical Staffing Llc	1759712698	24

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. Mr John L Culiberk allows following entities to bill medicare on his behalf.

Entity Name	Jersey Community Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780609925 PECOS PAC ID: 4587650445 Enrollment ID: O20040424000140

Entity Name	Trinity Medical Staffing Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770103426 PECOS PAC ID: 1759712698 Enrollment ID: O20200511000598

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 L Culiberk 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
Mr John L Culiberk, AGNP-C 1 Frontenac Pl, Godfrey, IL 62035-1709 Ph: (618) 779-6379	Mr John L Culiberk, AGNP-C 400 Maple Summit Rd, Jerseyville, IL 62052-2028 Ph: (618) 498-6402

Reviews and Comments

Nurse Practitioner Nurses in Jerseyville, IL

Melissa G Kulp, MS, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 220 E County Rd, E Annex, Jerseyville, IL 62052 Phone: 618-498-8467 Fax: 618-639-2017
Ms. Ellen Edith Mouser, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 270 Maple Summit Rd, Jerseyville, IL 62052 Phone: 618-639-9952 Fax: 618-639-9955
Mrs. Deborah Marie Seymour, APN-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 390 Maple Summit Rd, Jerseyville, IL 62052 Phone: 618-498-2101 Fax: 618-498-8153
Tammie L Blevins, ANP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 220 E County Rd, Jerseyville, IL 62052 Phone: 618-498-8467 Fax: 618-639-2017
Alexandra Irene Evans, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 390 Maple Summit Rd, Jerseyville, IL 62052 Phone: 618-498-2101 Fax: 618-498-8153
Amber N. Wright, FNP-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 220 E County Rd, East Annex, Jerseyville, IL 62052 Phone: 618-498-8467 Fax: 618-639-2017
Ms. Beth Ann Dalrymple-woods, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 Maple Summit Rd, Jerseyville, IL 62052 Phone: 618-498-8472 Fax: 618-498-8461

Mr John L Culiberk, AGNP-C - Medicare Nurse Practitioner in Jerseyville, IL