Ms Dale Lullo, AGACNP in Orangeburg, SC - Medicare Nurse Practitioner

Ms Dale Lullo, AGACNP is a medicare enrolled "Nurse Practitioner - Acute Care" in Orangeburg, South Carolina. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Cogent Healthcare Of Georgia Pc, Musc Community Physicians and her current practice location is 3000 Saint Matthews Rd, Orangeburg, South Carolina. You can reach out to her office (for appointments etc.) via phone at (843) 431-2000.

Ms Dale Lullo is licensed to practice in South Carolina (license number 21933) 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 1245720101.

Contact Information

	Ms Dale Lullo, AGACNP
	3000 Saint Matthews Rd, Orangeburg, SC 29118
	(843) 431-2000
	Not Available

Map and Direction

Provider's Profile

Full Name	Ms Dale Lullo
Gender	Female
Speciality	Nurse Practitioner
Experience	9 Years
Location	3000 Saint Matthews Rd, Orangeburg, South Carolina
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ms Dale Lullo graduated from nursing school in 2015

NPI Data:

NPI Number: 1245720101
Provider Enumeration Date: 05/16/2018
Last Update Date: 10/12/2023

Medicare PECOS Information:

PECOS PAC ID: 6103170949
Enrollment ID: I20181114003340

Medical Identifiers

Medical identifiers for Ms Dale Lullo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245720101	NPI	-	NPPES
PENDING	Medicaid	SC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	21933 (South Carolina)	Secondary
363LA2100X	Nurse Practitioner - Acute Care	21933 (South Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Musc Medical Center	Charleston, SC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Cogent Healthcare Of Georgia Pc	2961483607	255
Musc Community Physicians	6507260668	698

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. Ms Dale Lullo allows following entities to bill medicare on her behalf.

Entity Name	The Regional Medical Center Of Orangeburg And Calhoun Counties
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003889676 PECOS PAC ID: 8527970771 Enrollment ID: O20040506001434

Entity Name	Sound Physicians Of South Carolina, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922428358 PECOS PAC ID: 6800014762 Enrollment ID: O20140905002528

Entity Name	Cogent Healthcare Of Georgia Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609827823 PECOS PAC ID: 2961483607 Enrollment ID: O20151015001850

Entity Name	Musc Community Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841878006 PECOS PAC ID: 6507260668 Enrollment ID: O20210811002388

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. Ms Dale Lullo 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
Ms Dale Lullo, AGACNP Po Box 23321, New York, NY 10087-0332 Ph: (803) 533-2200	Ms Dale Lullo, AGACNP 3000 Saint Matthews Rd, Orangeburg, SC 29118 Ph: (843) 431-2000

Reviews and Comments

Nurse Practitioner Nurses in Orangeburg, SC

Catherine Simmons, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3310 Magnolia Centers Inc, Orangeburg, SC 29115 Phone: 843-701-6387
Shannon W Easterlin, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 940 Holly St, Orangeburg, SC 29115 Phone: 803-536-2725 Fax: 803-534-3118
Monica Monique Johnson, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3000 Saint Matthews Rd, Orangeburg, SC 29118 Phone: 803-395-2200
Constance Gainey Bailey, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3000 Saint Matthews Rd, Orangeburg, SC 29118 Phone: 803-395-2200
Vincent Bernard Johnson, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3310 Magnolia St, Orangeburg, SC 29115 Phone: 803-531-6900
Ms. Erica Thompson, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1773 Village Park Drive, Orangeburg, SC 29118 Phone: 803-535-3600
Jennifer Haynes, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 970 Holly St, Orangeburg, SC 29115 Phone: 803-531-2722 Fax: 803-531-2743

Ms Dale Lullo, AGACNP - Medicare Nurse Practitioner in Orangeburg, SC