Dylan Reese Mccollough, CRNP is a medicare enrolled "Nurse Practitioner - Family" physician in Elba, Alabama. His current practice location is
918 Drayton Ave, Elba, Alabama. You can reach out to his office (for appointments etc.) via phone at
(334) 493-5713.
Dylan Reese Mccollough is licensed to practice in Alabama (license number 1-140157) 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 1285250670.
Physician's Profile
| Full Name | Dylan Reese Mccollough |
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| Gender | Male |
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| Speciality | Nurse Practitioner - Family |
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| Location | 918 Drayton Ave, Elba, Alabama |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1285250670
- Provider Enumeration Date: 06/22/2020
- Last Update Date: 11/07/2022
Medicare PECOS Information:
- PECOS PAC ID: 9537585146
- Enrollment ID: I20200813001101
Medical Identifiers
Medical identifiers for Dylan Reese Mccollough such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1285250670 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | F06200571 (Alabama) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 1-140157 (Alabama) | 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. Dylan Reese Mccollough allows following entities to bill medicare on his behalf.
| Entity Name | Enterprise Urgent Care |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1285180729
PECOS PAC ID: 1456647197
Enrollment ID: O20160907001338 |
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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. Dylan Reese Mccollough 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 |
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Dylan Reese Mccollough, CRNP
Po Box 1010,
Opp, AL 36467-1010
Ph: (334) 493-5713 | Dylan Reese Mccollough, CRNP
918 Drayton Ave,
Elba, AL 36323-1448
Ph: (334) 493-5713 |
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