Ms Laura Lucille Mccully, CNM is a medicare enrolled "Advanced Practice Midwife" in Jackson, Michigan. Her current practice location is
2200 Springport Rd, Jackson, Michigan. You can reach out to her office (for appointments etc.) via phone at
(517) 784-9356.
Ms Laura Lucille Mccully is licensed to practice in Michigan (license number 4704201104) 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 1558368910.
Provider's Profile
| Full Name | Ms Laura Lucille Mccully |
|---|
| Gender | Female |
|---|
| Speciality | Advanced Practice Midwife |
|---|
| Location | 2200 Springport Rd, Jackson, Michigan |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1558368910
- Provider Enumeration Date: 06/30/2005
- Last Update Date: 07/09/2007
Medicare PECOS Information:
- PECOS PAC ID: 3173572906
- Enrollment ID: I20050119000071
Medical Identifiers
Medical identifiers for Ms Laura Lucille Mccully such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1558368910 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 367A00000X | Advanced Practice Midwife | 4704201104 (Michigan) | 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. Ms Laura Lucille Mccully allows following entities to bill medicare on her behalf.
| Entity Name | Advanced Gynecology Specialist Of Marshall Pllc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1376961672
PECOS PAC ID: 1557593712
Enrollment ID: O20140422002201 |
|---|
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. Ms Laura Lucille Mccully 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 |
|---|
Ms Laura Lucille Mccully, CNM
2298 Springport Rd, Ste B,
Jackson, MI 49202-1475
Ph: (517) 784-3950 | Ms Laura Lucille Mccully, CNM
2200 Springport Rd,
Jackson, MI 49202-1432
Ph: (517) 784-9356 |
Reviews and Comments