Mrs Tanna Lynn Mccullough, FNP in Lawrenceville, IL

Mrs Tanna Lynn Mccullough, FNP is a medicare enrolled "Nurse Practitioner - Family" in Lawrenceville, Illinois. She graduated from nursing school in 2007 and has 17 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Lawrence County Memorial Hospital and her current practice location is 2111 Lexington Ave, Lawrenceville, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 943-7216.

Mrs Tanna Lynn Mccullough is licensed to practice in Illinois (license number 209006703) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1346449188.

Contact Information

	Mrs Tanna Lynn Mccullough, FNP
	2111 Lexington Ave, Lawrenceville, IL 62439-2085
	(618) 943-7216
	(618) 943-7219

Map and Direction

Provider's Profile

Full Name	Mrs Tanna Lynn Mccullough
Gender	Female
Speciality	Nurse Practitioner
Experience	17 Years
Location	2111 Lexington Ave, Lawrenceville, Illinois
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Tanna Lynn Mccullough graduated from nursing school in 2007

NPI Data:

NPI Number: 1346449188
Provider Enumeration Date: 07/12/2007
Last Update Date: 04/11/2012

Medicare PECOS Information:

PECOS PAC ID: 5395836159
Enrollment ID: I20070808000319

Medical Identifiers

Medical identifiers for Mrs Tanna Lynn Mccullough such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346449188	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	209006703 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Lawrence County Memorial Hospital	Lawrenceville, IL	Hospital
Wabash General Hospital 1	Mount carmel, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Lawrence County Memorial Hospital	7517144249	15

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 Tanna Lynn Mccullough allows following entities to bill medicare on her behalf.

Entity Name	Lawrence County Memorial Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396024162 PECOS PAC ID: 7517144249 Enrollment ID: O20110815000691

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 Tanna Lynn Mccullough 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 Tanna Lynn Mccullough, FNP 2200 State St, Lawrenceville, IL 62439-1852 Ph: (618) 943-1000	Mrs Tanna Lynn Mccullough, FNP 2111 Lexington Ave, Lawrenceville, IL 62439-2085 Ph: (618) 943-7216

Reviews and Comments

Nurse Practitioner Nurses in Lawrenceville, IL

Danielle Deisher, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2101 James St, Lawrenceville, IL 62439 Phone: 618-943-3302
Reiley Eryn Michels, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2111 Lexington Ave, Lawrenceville, IL 62439 Phone: 618-943-7214
Michelle Macey Thacker, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2111 Lexington Ave, Lawrenceville, IL 62439 Phone: 618-943-7214
Tracy R Ramsey, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2111 Lexington Ave, Lawrenceville, IL 62439 Phone: 618-942-7214
Emma Ray Engel, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11741 Sizemore Ln, Lawrenceville, IL 62439 Phone: 812-881-5468
Kourtney Benson, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 102 Trim Masters Drive, Lawrenceville, IL 62439 Phone: 618-943-7900 Fax: 618-943-7901

Mrs Tanna Lynn Mccullough, FNP - Medicare Nurse Practitioner in Lawrenceville, IL