Samuel Scott Mccullough Iii, FNP-C - Nurse Practitioner in Madison, MS

Samuel Scott Mccullough Iii, FNP-C is a Nurse Practitioner based in Madison, Mississippi. Samuel Scott Mccullough Iii is licensed to practice in Mississippi (license number 903614) and his current practice location is 120 Fountains Blvd # 1000, Madison, Mississippi. He can be reached at his office (for appointments etc.) via phone at (763) 300-0700.

NPI number for Samuel Scott Mccullough Iii is 1750923538 and his current mailing address is 144 Huber St, Madison, Mississippi. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1750923538.

Contact Information

Samuel Scott Mccullough Iii, FNP-C
120 Fountains Blvd # 1000,
Madison, MS 39110-6343
(763) 300-0700
Not Available

Map and Direction




Provider's Profile

Full NameSamuel Scott Mccullough Iii
GenderMale
SpecialityNurse Practitioner
Location120 Fountains Blvd # 1000, Madison, Mississippi
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1750923538
  • Provider Enumeration Date: 10/12/2019
  • Last Update Date: 10/12/2019

Medical Identifiers

Medical identifiers for Samuel Scott Mccullough Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750923538NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 903614 (Mississippi)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. Samuel Scott Mccullough Iii 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 AddressPractice Location Address
Samuel Scott Mccullough Iii, FNP-C
144 Huber St,
Madison, MS 39110-6983

Ph: (601) 260-9830
Samuel Scott Mccullough Iii, FNP-C
120 Fountains Blvd # 1000,
Madison, MS 39110-6343

Ph: (763) 300-0700

Reviews and Comments


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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).

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