Mr Kory Mccullah, PA-C is a
Physician Assistant based in Marlboro, New York. Mr Kory Mccullah is licensed to practice in New York (license number 1208115) and his current practice location is
50 Idlewild Rd, Marlboro, New York. He can be reached at his office (for appointments etc.) via phone at
(907) 799-9792.
NPI number for Mr Kory Mccullah is 1902598568 and his current mailing address is 50 Idlewild Rd, Marlboro, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1902598568.
Provider's Profile
| Full Name | Mr Kory Mccullah |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | 50 Idlewild Rd, Marlboro, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1902598568
- Provider Enumeration Date: 05/23/2023
- Last Update Date: 05/23/2023
Medical Identifiers
Medical identifiers for Mr Kory Mccullah such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1902598568 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 1208115 (New York) | 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 Kory Mccullah is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Kory Mccullah, PA-C
50 Idlewild Rd,
Marlboro, NY 12542-5533
Ph: (907) 799-9792 | Mr Kory Mccullah, PA-C
50 Idlewild Rd,
Marlboro, NY 12542-5533
Ph: (907) 799-9792 |
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