Mrs Susan Carol Cullop, APRN is a medicare enrolled "Nurse Practitioner - Family" in Forest Hills, Kentucky. Her current practice location is
551 Forest Hills Rd, Forest Hills, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(630) 824-8662.
Mrs Susan Carol Cullop is licensed to practice in Kentucky (license number 3013124) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1730644337.
Provider's Profile
Full Name | Mrs Susan Carol Cullop |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 551 Forest Hills Rd, Forest Hills, Kentucky |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1730644337
- Provider Enumeration Date: 02/07/2019
- Last Update Date: 03/20/2023
Medicare PECOS Information:
- PECOS PAC ID: 7214392422
- Enrollment ID: I20230421002517
Medical Identifiers
Medical identifiers for Mrs Susan Carol Cullop such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1730644337 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 3013124 (Kentucky) | 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. Mrs Susan Carol Cullop allows following entities to bill medicare on her behalf.
Entity Name | Signify Health Medical Associates Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20191218003345 |
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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 Susan Carol Cullop 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 |
Mrs Susan Carol Cullop, APRN 551 Forest Hills Rd, Forest Hills, KY 41527-8322 Ph: (630) 824-8662 | Mrs Susan Carol Cullop, APRN 551 Forest Hills Rd, Forest Hills, KY 41527-8322 Ph: (630) 824-8662 |
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