Lavena H Mccullum, APRN in Salem, OR - Medicare Nurse Practitioner

Lavena H Mccullum, APRN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Salem, Oregon. Her current practice location is 401 Ratcliff Dr Se Ste 110, Salem, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 224-8110.

Lavena H Mccullum is licensed to practice in Oregon (license number 10021776) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1235628645.

Contact Information

	Lavena H Mccullum, APRN
	401 Ratcliff Dr Se Ste 110, Salem, OR 97302-4576
	(541) 224-8110
	(800) 783-8942

Map and Direction

Provider's Profile

Full Name	Lavena H Mccullum
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	401 Ratcliff Dr Se Ste 110, Salem, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1235628645
Provider Enumeration Date: 05/02/2018
Last Update Date: 04/21/2026

Medicare PECOS Information:

PECOS PAC ID: 7911253299
Enrollment ID: I20180628001048

Medical Identifiers

Medical identifiers for Lavena H Mccullum such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235628645	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	10021776 (Oregon)	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. Lavena H Mccullum allows following entities to bill medicare on her behalf.

Entity Name	Onhealthcare Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417220369 PECOS PAC ID: 8527221480 Enrollment ID: O20120514000325

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. Lavena H Mccullum 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
Lavena H Mccullum, APRN 710 E Foothills Dr Ste 104, Newberg, OR 97132-6125 Ph: (541) 224-8110	Lavena H Mccullum, APRN 401 Ratcliff Dr Se Ste 110, Salem, OR 97302-4576 Ph: (541) 224-8110

Reviews and Comments

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Ms. Sharon L Espersen, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 885 Mission St Se, Salem, OR 97302 Phone: 503-585-5585 Fax: 503-587-7823

Lavena H Mccullum, APRN - Medicare Nurse Practitioner in Salem, OR