Jessica Quantz Cullivan, MD - Medicare Emergency Medicine in Bellefontaine, OH

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Jessica Quantz Cullivan, MD is a medicare enrolled "Hospitalist" physician in Bellefontaine, Ohio. She went to Northeastern Ohio University College Of Medicine and graduated in 2005 and has 19 years of diverse experience with area of expertise as Emergency Medicine. She is a member of the group practice Mary Rutan Hospital and her current practice location is 205 Palmer Avenue, Bellefontaine, Ohio. You can reach out to her office (for appointments etc.) via phone at (937) 599-7018.

Jessica Quantz Cullivan is licensed to practice in Ohio (license number 35091140) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1700055530.

Contact Information

Jessica Quantz Cullivan, MD
205 Palmer Avenue,
Bellefontaine, OH 43311
(937) 599-7018
(937) 599-5011

Map and Direction




Physician's Profile

Full NameJessica Quantz Cullivan
GenderFemale
SpecialityEmergency Medicine
Experience19 Years
Location205 Palmer Avenue, Bellefontaine, Ohio
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jessica Quantz Cullivan attended and graduated from Northeastern Ohio University College Of Medicine in 2005
  NPI Data:
  • NPI Number: 1700055530
  • Provider Enumeration Date: 02/26/2008
  • Last Update Date: 07/15/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 3870665763
  • Enrollment ID: I20080709000662

Medical Identifiers

Medical identifiers for Jessica Quantz Cullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700055530NPI-NPPES
2866975MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 35091140 (Ohio)Secondary
208M00000XHospitalist 35091140 (Ohio)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mary Rutan HospitalBellefontaine, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mary Rutan Hospital903201379277

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. Jessica Quantz Cullivan allows following entities to bill medicare on her behalf.
Entity NameMary Rutan Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548254931
PECOS PAC ID: 9032013792
Enrollment ID: O20031124000531
Entity NameEmergency Professional Services, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093762353
PECOS PAC ID: 7214832435
Enrollment ID: O20040511000864

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. Jessica Quantz Cullivan 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 AddressPractice Location Address
Jessica Quantz Cullivan, MD
205 Palmer Avenue,
Bellefontaine, OH 43311

Ph: (937) 599-7018		Jessica Quantz Cullivan, MD
205 Palmer Avenue,
Bellefontaine, OH 43311

Ph: (937) 599-7018

Reviews and Comments


Hospitalist Doctors in Bellefontaine, OH


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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.