Mrs Jill M Mccullough, is a
Licensed Practical Nurse based in Iva, South Carolina. Mrs Jill M Mccullough is licensed to practice in South Carolina (license number 18694) and her current practice location is
803 Antreville Hwy, Iva, South Carolina. She can be reached at her office (for appointments etc.) via phone at
(863) 348-6400.
NPI number for Mrs Jill M Mccullough is 1184060162 and her current mailing address is Po Box 118, Iva, South Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1184060162.
Provider's Profile
| Full Name | Mrs Jill M Mccullough |
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| Gender | Female |
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| Speciality | Licensed Practical Nurse |
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| Location | 803 Antreville Hwy, Iva, South Carolina |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1184060162
- Provider Enumeration Date: 05/16/2013
- Last Update Date: 05/16/2013
Medical Identifiers
Medical identifiers for Mrs Jill M Mccullough such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1184060162 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | 18694 (South Carolina) | 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. Mrs Jill M Mccullough 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 |
|---|
Mrs Jill M Mccullough,
Po Box 118,
Iva, SC 29655-0118
Ph: (964) 348-6196 | Mrs Jill M Mccullough,
803 Antreville Hwy,
Iva, SC 29655-9512
Ph: (863) 348-6400 |
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