Mr Robert E Mccullough Ii, in Tulalip, WA - Medicare Counselor Provider

Mr Robert E Mccullough Ii, is a medicare enrolled "Counselor - Mental Health" provider in Tulalip, Washington. His current practice location is 2821 Mission Hill Rd, Tulalip, Washington. You can reach out to his office (for appointments etc.) via phone at (360) 716-4400.

Mr Robert E Mccullough Ii is licensed to practice in Washington (license number LH61367968) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1386006922.

Contact Information

	Mr Robert E Mccullough Ii,
	2821 Mission Hill Rd, Tulalip, WA 98271-9706
	(360) 716-4400
	(425) 259-8626

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Robert E Mccullough Ii
Gender	Male
Speciality	Counselor - Mental Health
Location	2821 Mission Hill Rd, Tulalip, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1386006922
Provider Enumeration Date: 03/23/2016
Last Update Date: 02/25/2025

Medicare PECOS Information:

PECOS PAC ID: 9335679182
Enrollment ID: I20250207002342

Medical Identifiers

Medical identifiers for Mr Robert E Mccullough Ii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386006922	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	00004280 (Washington)	Secondary
101YM0800X	Counselor - Mental Health	LH61367968 (Washington)	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. Mr Robert E Mccullough Ii allows following entities to bill medicare on his behalf.

Entity Name	Tulalip Tribes Of Washington
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770531501 PECOS PAC ID: 7719879782 Enrollment ID: O20160615001117

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. Mr Robert E Mccullough Ii 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
Mr Robert E Mccullough Ii, 2821 Mission Hill Rd, Tulalip, WA 98271-9706 Ph: (360) 716-4400	Mr Robert E Mccullough Ii, 2821 Mission Hill Rd, Tulalip, WA 98271-9706 Ph: (360) 716-4400

Reviews and Comments

Counselor in Tulalip, WA

Jamie Lynn Adams, SUDP Counselor Medicare: Not Enrolled in Medicare Practice Location: 6330 31st Ave Ne Ste 191, Tulalip, WA 98271 Phone: 360-716-2200
Shelly Noreen Hennings, CDP, NCAC-I Counselor Medicare: Not Enrolled in Medicare Practice Location: 2821 Mission Hill Rd, Tulalip, WA 98271 Phone: 360-716-4323 Fax: 360-651-4404
Ms. Gayle Ann Jones, BA, IN HS & ED., CDP Counselor Medicare: Not Enrolled in Medicare Practice Location: 2821 Mission Hill Rd, Tulalip, WA 98271 Phone: 360-715-4321 Fax: 360-651-3303
Ms. Gina E Skinner, CDP Counselor Medicare: Not Enrolled in Medicare Practice Location: 2821 Mission Hill Rd, Tulalip, WA 98271 Phone: 360-716-4323
Suk Choo Chang, MD Counselor Medicare: Not Enrolled in Medicare Practice Location: 2821 Mission Hill Road, Tulalip, WA 98271 Phone: 360-716-4400 Fax: 360-651-4404
Sara Stevee Giba, MA, LMHC, MHP Counselor Medicare: Medicare Enrolled Practice Location: 2821 Mission Hill Rd, Tulalip, WA 98271 Phone: 360-716-4347
Lynelle Lauzon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2821 Mission Hill Rd, Tulalip, WA 98271 Phone: 360-716-4400

Mr Robert E Mccullough Ii, - Medicare Counselor in Tulalip, WA