Lori A Mccullough, PA-C - Medicare Physician Assistant in Belleville, IL

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Lori A Mccullough, PA-C is a medicare enrolled "Physician Assistant - Medical" in Belleville, Illinois. She went to Saint Louis University School Of Medicine and graduated in 2001 and has 25 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Fairview Heights Medical Group Sc and her current practice location is 4500 Memorial Dr, Belleville, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 257-6220.

Lori A Mccullough is licensed to practice in Illinois (license number 085005433) 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 1336312693.

Contact Information

Lori A Mccullough, PA-C
4500 Memorial Dr,
Belleville, IL 62226-5360
(618) 257-6220
Not Available

Map and Direction




Provider's Profile

Full NameLori A Mccullough
GenderFemale
SpecialityPhysician Assistant
Experience25 Years
Location4500 Memorial Dr, Belleville, Illinois
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:
  • Lori A Mccullough attended and graduated from Saint Louis University School Of Medicine in 2001
  NPI Data:
  • NPI Number: 1336312693
  • Provider Enumeration Date: 04/08/2008
  • Last Update Date: 08/31/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 7810021136
  • Enrollment ID: I20150825003477

Medical Identifiers

Medical identifiers for Lori A Mccullough such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336312693NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical 2002001000 (Missouri)Secondary
363AM0700XPhysician Assistant - Medical 085005433 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Memorial HospitalBelleville, ILHospital
Alton Memorial HospitalAlton, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Fairview Heights Medical Group Sc6800784083448

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. Lori A Mccullough allows following entities to bill medicare on her behalf.
Entity NameFairview Heights Medical Group SC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679503668
PECOS PAC ID: 6800784083
Enrollment ID: O20040309000650
Entity NameSoutheastern Emergency Services of Memphis PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164454450
PECOS PAC ID: 8921912767
Enrollment ID: O20150428000000
Entity NameEmergency Services Midwest SC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174024806
PECOS PAC ID: 2769746056
Enrollment ID: O20180515000619

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. Lori A 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 AddressPractice Location Address
Lori A Mccullough, PA-C
6400 Clayton Rd, Ste 110,
Saint Louis, MO 63117-1850

Ph: (314) 645-4434		Lori A Mccullough, PA-C
4500 Memorial Dr,
Belleville, IL 62226-5360

Ph: (618) 257-6220

Reviews and Comments


Physician Assistant Nurses in Belleville, IL

Mattison N Perez, P.A.
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 4700 Memorial Dr Ste 210, Belleville, IL 62226
Phone: 618-767-7700    
Kim C Wrigley, P.A.
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Practice Location: 4500 Memorial Dr, Belleville, IL 62226
Phone: 618-257-6220    
Lance L Lane, PA-C
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Medicare: Accepting Medicare Assignments
Practice Location: 4700 Memorial Dr Ste 210, Belleville, IL 62226
Phone: 618-767-7700    
Miss Kristina Klaverkamp, MSPA
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Medicare: Not Enrolled in Medicare
Practice Location: 2810 Frank Scott Pkwy W Ste 716, Belleville, IL 62223
Phone: 618-355-0880    
Bessy Sarahi Villafranca-escobar, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 4600 Memorial Dr Ste W1, Belleville, IL 62226
Phone: 618-233-3066    Fax: 618-233-3180
Kevin Wilson, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 130 Lincoln Place Ct, Belleville, IL 62221
Phone: 618-257-2029    Fax: 618-235-5371
Molly Claire Wade, PA
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Medicare: Accepting Medicare Assignments
Practice Location: 4600 Memorial Dr Ste 120, Belleville, IL 62226
Phone: 618-222-1020    

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).

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