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

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Marty Mccullough, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Palatka, Florida. He graduated from nursing school in 2009 and has 17 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Physicians Group Services Pa, 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 NameMarty Mccullough
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience17 Years
Location611 Zeagler Dr, Palatka, Florida
Accepts Medicare AssignmentsYes. 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.
IdentifierTypeStateIssuer
1366678575NPI-NPPES
002134100MedicaidFL
G00CFOtherFLBCBS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered ARNP3323342 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Hca Florida Putnam HospitalPalatka, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Physicians Group Services Pa125423857991
Gulf-to-bay Anesthesiology Associates Llc5092628156330

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 NameGulf-to-bay Anesthesiology Associates LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720039746
PECOS PAC ID: 5092628156
Enrollment ID: O20031106000250
Entity NamePhysicians Group Services PA
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861440810
PECOS PAC ID: 1254238579
Enrollment ID: O20031216000099
Entity NameNorthstar Anesthesia of Florida LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568056166
PECOS PAC ID: 8921522376
Enrollment ID: O20250408001182

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 AddressPractice 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: Not Enrolled in Medicare
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    

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.