Peggy Lisa Mccullum, CNM is a
Midwife based in Corvallis, Oregon. Peggy Lisa Mccullum is licensed to practice in Oregon (license number 200450148NP) and her current practice location is
3640 Nw Samaritan Dr Ste 220, Corvallis, Oregon. She can be reached at her office (for appointments etc.) via phone at
(541) 768-5300.
NPI number for Peggy Lisa Mccullum is 1528005253 and her current mailing address is Po Box 1189, Corvallis, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1528005253.
Provider's Profile
Full Name | Peggy Lisa Mccullum |
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Gender | Female |
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Speciality | Midwife |
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Location | 3640 Nw Samaritan Dr Ste 220, Corvallis, Oregon |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1528005253
- Provider Enumeration Date: 06/01/2006
- Last Update Date: 11/10/2020
Medical Identifiers
Medical identifiers for Peggy Lisa Mccullum such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1528005253 | NPI | - | NPPES |
200450148NP | Other | OR | STATE LICENSE |
200442216RN | Other | OR | STATE LICENSE |
269512 | Medicaid | OR | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367A00000X | Advanced Practice Midwife | 200450148NP (Oregon) | Secondary |
176B00000X | Midwife | 200450148NP (Oregon) | Primary |
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. Peggy Lisa Mccullum is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Peggy Lisa Mccullum, CNM Po Box 1189, Corvallis, OR 97339-1189 Ph: () - | Peggy Lisa Mccullum, CNM 3640 Nw Samaritan Dr Ste 220, Corvallis, OR 97330-3784 Ph: (541) 768-5300 |
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