Ms Shambra Cullum, APN - Medicare Nurse Practitioner in O Fallon, IL

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Ms Shambra Cullum, APN is a medicare enrolled "Nurse Practitioner - Family" in O Fallon, Illinois. Her current practice location is 1 Saint Elizabeth Blvd, O Fallon, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 994-1485.

Ms Shambra Cullum is licensed to practice in Illinois (license number 209016520) 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 1033615463.

Contact Information

Ms Shambra Cullum, APN
1 Saint Elizabeth Blvd,
O Fallon, IL 62269-1099
(217) 994-1485
Not Available

Map and Direction




Provider's Profile

Full NameMs Shambra Cullum
GenderFemale
SpecialityNurse Practitioner - Family
Location1 Saint Elizabeth Blvd, O Fallon, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1033615463
  • Provider Enumeration Date: 04/04/2018
  • Last Update Date: 04/04/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 2062848419
  • Enrollment ID: I20200204001310

Medical Identifiers

Medical identifiers for Ms Shambra Cullum such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033615463NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 209016520 (Illinois)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 Shambra Cullum allows following entities to bill medicare on her behalf.
Entity NameSt Anthony's Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306800602
PECOS PAC ID: 2365341211
Enrollment ID: O20040108000741
Entity NameUnity Hospice Of Greater St. Louis, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245319367
PECOS PAC ID: 0446260962
Enrollment ID: O20190501000720

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 Shambra Cullum 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 AddressPractice Location Address
Ms Shambra Cullum, APN
1 Saint Elizabeth Blvd,
O Fallon, IL 62269-1099

Ph: (217) 994-1485		Ms Shambra Cullum, APN
1 Saint Elizabeth Blvd,
O Fallon, IL 62269-1099

Ph: (217) 994-1485

Reviews and Comments


Nurse Practitioner Nurses in O Fallon, IL

Kathy Liefer, NURSE PRACTITIONER
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3 Saint Elizabeth Blvd, O Fallon, IL 62269
Phone: 618-641-5803    
Megan Elizabeth Gomer, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1512 English Pine Ln, O Fallon, IL 62269
Phone: 309-368-8984    
Annamaria Griffith, DNP, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1405 N Green Mount Rd Ste 240, O Fallon, IL 62269
Phone: 618-632-9000    
Mrs. Amy Marie Buck, APN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 670 Pierce Blvd, O Fallon, IL 62269
Phone: 618-206-2070    
Derek Pechacek, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 320 E Highway 50, O Fallon, IL 62269
Phone: 618-624-3368    Fax: 618-624-3387
Mrs. Kimberly Burgess, AGNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 670 Pierce Blvd, O Fallon, IL 62269
Phone: 618-206-2094    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.