Tonya L Mcculloch, MPT, CWS in Shreveport, LA - Medicare Physical Therapist Provider

Tonya L Mcculloch, MPT, CWS is a medicare enrolled "Physical Therapist" provider in Shreveport, Louisiana. Her current practice location is 1500 Line Ave, Shreveport, Louisiana. You can reach out to her office (for appointments etc.) via phone at (318) 213-3800.

Tonya L Mcculloch is licensed to practice in Louisiana (license number 04704) 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 1124069927.

Contact Information

	Tonya L Mcculloch, MPT, CWS
	1500 Line Ave, Shreveport, LA 71101-4639
	(318) 213-3800
	(318) 213-3763

Map and Direction

Healthcare Provider's Profile

Full Name	Tonya L Mcculloch
Gender	Female
Speciality	Physical Therapist
Location	1500 Line Ave, Shreveport, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124069927
Provider Enumeration Date: 06/10/2006
Last Update Date: 06/07/2011

Medicare PECOS Information:

PECOS PAC ID: 0244289908
Enrollment ID: I20050120000020

Medical Identifiers

Medical identifiers for Tonya L Mcculloch such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124069927	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	04704 (Louisiana)	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. Tonya L Mcculloch allows following entities to bill medicare on her behalf.

Provider Name	Jackson Parish Therapy Center, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1891794491 PECOS PAC ID: 8022048867 Enrollment ID: O20050822000213

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. Tonya L 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
Tonya L Mcculloch, MPT, CWS 1500 Line Ave, Shreveport, LA 71101-4639 Ph: (318) 213-3800	Tonya L Mcculloch, MPT, CWS 1500 Line Ave, Shreveport, LA 71101-4639 Ph: (318) 213-3800

Reviews and Comments

Physical Therapist in Shreveport, LA

Suzannah Kathryn York - Crump, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 266 Ockley Dr, Shreveport, LA 71105 Phone: 337-580-0083 Fax: 337-580-0083
Anna Means Moore, PT, DPT, OCS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2950 Fairfield Ave, Shreveport, LA 71104 Phone: 318-841-0696 Fax: 318-841-0776
Sydney Williams, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 670 Albemarle Dr Ste 1100, Shreveport, LA 71106 Phone: 318-828-1450 Fax: 318-828-2697
Archna Shasta, Physical Therapist Medicare: Medicare Enrolled Practice Location: 7591 Fern Ave Ste 1203, Shreveport, LA 71105 Phone: 318-828-2972
Eberhardt Physical Therapy & Wellness Clinic, Inc. Physical Therapist Medicare: Medicare Enrolled Practice Location: 820 Jordan St Ste 150, Shreveport, LA 71101 Phone: 318-222-7442 Fax: 318-424-4751
Claire Marie Melebeck, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1450 Claiborne Ave, School Of Allied Health, Shreveport, LA 71103 Phone: 318-813-2961 Fax: 318-813-2989
Michael Wayne Wiltcher, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10178 Berrywood Cir, Shreveport, LA 71106 Phone: 318-469-4349

Tonya L Mcculloch, MPT, CWS - Medicare Physical Therapist in Shreveport, LA