Mrs Andrea Marie Mcculloch, MSN, RN, AGACNP-BC in Raleigh, NC

Mrs Andrea Marie Mcculloch, MSN, RN, AGACNP-BC is a medicare enrolled "Nurse Practitioner - Acute Care" in Raleigh, North Carolina. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Rex Hospital Inc and her current practice location is 4420 Lake Boone Trl, Raleigh, North Carolina. You can reach out to her office (for appointments etc.) via phone at (734) 740-6085.

Mrs Andrea Marie Mcculloch is licensed to practice in North Carolina (license number 5011544) 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 1316405905.

Contact Information

	Mrs Andrea Marie Mcculloch, MSN, RN, AGACNP-BC
	4420 Lake Boone Trl, Raleigh, NC 27607-7505
	(734) 740-6085
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Andrea Marie Mcculloch
Gender	Female
Speciality	Nurse Practitioner
Experience	6 Years
Location	4420 Lake Boone Trl, Raleigh, North Carolina
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 Andrea Marie Mcculloch graduated from nursing school in 2018

NPI Data:

NPI Number: 1316405905
Provider Enumeration Date: 03/04/2019
Last Update Date: 08/07/2022

Medicare PECOS Information:

PECOS PAC ID: 2062755838
Enrollment ID: I20190517001186

Medical Identifiers

Medical identifiers for Mrs Andrea Marie Mcculloch such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316405905	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	ALLE-FVSF53 (North Carolina)	Secondary
363LG0600X	Nurse Practitioner - Gerontology	5011544 (North Carolina)	Secondary
363LA2100X	Nurse Practitioner - Acute Care	5011544 (North Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Rex Hospital	Raleigh, NC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Rex Hospital Inc	0840109864	658

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 Andrea Marie Mcculloch allows following entities to bill medicare on her behalf.

Entity Name	University Of North Carolina At Chapel Hill
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780669200 PECOS PAC ID: 0648181156 Enrollment ID: O20031105000359

Entity Name	Rex Hospital Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144248683 PECOS PAC ID: 0840109864 Enrollment ID: O20140613001181

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 Andrea Marie Mcculloch 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 Andrea Marie Mcculloch, MSN, RN, AGACNP-BC 401 W Hargett St Apt 728, Raleigh, NC 27603-4082 Ph: (734) 740-6085	Mrs Andrea Marie Mcculloch, MSN, RN, AGACNP-BC 4420 Lake Boone Trl, Raleigh, NC 27607-7505 Ph: (734) 740-6085

Reviews and Comments

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Mrs Andrea Marie Mcculloch, MSN, RN, AGACNP-BC - Medicare Nurse Practitioner in Raleigh, NC