Marty Mccullough, CRNA in Palatka, FL - Medicare Certified Registered Nurse Anesthetist (crna)

Marty Mccullough, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Palatka, Florida. He graduated from nursing school in 2009 and has 16 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Gulf-to-bay Anesthesiology Associates Llc and his current practice location is 611 Zeagler Dr, Palatka, Florida. You can reach out to his office (for appointments etc.) via phone at (386) 326-7865.

Marty Mccullough is licensed to practice in Florida (license number ARNP3323342) 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 1366678575.

Contact Information

	Marty Mccullough, CRNA
	611 Zeagler Dr, Palatka, FL 32177-3810
	(386) 326-7865
	Not Available

Map and Direction

Provider's Profile

Full Name	Marty Mccullough
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	16 Years
Location	611 Zeagler Dr, Palatka, Florida
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:

Marty Mccullough graduated from nursing school in 2009

NPI Data:

NPI Number: 1366678575
Provider Enumeration Date: 06/02/2009
Last Update Date: 02/14/2011

Medicare PECOS Information:

PECOS PAC ID: 5496887085
Enrollment ID: I20100716000770

Medical Identifiers

Medical identifiers for Marty Mccullough such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366678575	NPI	-	NPPES
002134100	Medicaid	FL
G00CF	Other	FL	BCBS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	ARNP3323342 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Putnam Community Medical Center	Palatka, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Gulf-to-bay Anesthesiology Associates Llc	5092628156	275

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. Marty Mccullough allows following entities to bill medicare on his behalf.

Entity Name	Gulf-to-bay Anesthesiology Associates Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720039746 PECOS PAC ID: 5092628156 Enrollment ID: O20031106000250

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. Marty 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
Marty Mccullough, CRNA Po Box 3123, St Augustine, FL 32085-3123 Ph: (904) 824-4990	Marty Mccullough, CRNA 611 Zeagler Dr, Palatka, FL 32177-3810 Ph: (386) 326-7865

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Palatka, FL

Katherine Martin, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 611 Zeagler Dr, Palatka, FL 32177 Phone: 386-328-5711
John T Douglas, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: Highway 16, Palatka, FL 32178 Phone: 386-326-7850
Mr. Jeffrey Edward Martin, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 611 Zeagler Dr, Palatka, FL 32177 Phone: 386-328-5711
Paula B. Fuller, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 611 Zeagler Dr, Palatka, FL 32177 Phone: 386-326-8080
Rosalie J. Milano, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 611 Zeagler Dr, Palatka, FL 32177 Phone: 386-328-5711

Marty Mccullough, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Palatka, FL