Kyle Alan Mccullough, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Farmington, Connecticut. He graduated from medical school in 2017 and has 8 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Urgent Surgery Associates Pa, North Texas Critical Care Pa and his current practice location is
263 Farmington Ave, Farmington, Connecticut. You can reach out to his office (for appointments etc.) via phone at
(860) 679-1411.
Kyle Alan Mccullough is licensed to practice in Connecticut (license number 81585) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1043743479.
Physician's Profile
| Full Name | Kyle Alan Mccullough |
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| Gender | Male |
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| Speciality | General Surgery |
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| Experience | 8 Years |
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| Location | 263 Farmington Ave, Farmington, Connecticut |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Kyle Alan Mccullough graduated from medical school in 2017
NPI Data:
- NPI Number: 1043743479
- Provider Enumeration Date: 04/04/2017
- Last Update Date: 11/02/2025
Medicare PECOS Information:
- PECOS PAC ID: 1850770561
- Enrollment ID: I20240124002001
Medical Identifiers
Medical identifiers for Kyle Alan Mccullough such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1043743479 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208600000X | Surgery | U5754 (Texas) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | 81585 (Connecticut) | Primary |
| 2086S0102X | Surgery - Surgical Critical Care | U5754 (Texas) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Urgent Surgery Associates Pa | 0042122137 | 49 |
| North Texas Critical Care Pa | 6103041637 | 65 |
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. Kyle Alan Mccullough allows following entities to bill medicare on his behalf.
| Entity Name | Urgent Surgery Associates Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1326077082 PECOS PAC ID: 0042122137 Enrollment ID: O20031105000770 |
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| Entity Name | North Texas Critical Care Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1265863542 PECOS PAC ID: 6103041637 Enrollment ID: O20140625001871 |
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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. Kyle Alan Mccullough 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 |
Kyle Alan Mccullough, MD 263 Farmington Ave, Farmington, CT 06030-1921 Ph: (860) 679-1411 | Kyle Alan Mccullough, MD 263 Farmington Ave, Farmington, CT 06030-1921 Ph: (860) 679-1411 |
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