Mr John C Gullage, PA-C in Lebanon, MO - Medicare Physician Assistant

Mr John C Gullage, PA-C is a medicare enrolled "Physician Assistant - Surgical" in Lebanon, Missouri. He graduated from nursing school in 1987 and has 38 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Lake Regional Medical Management Inc, Lake Regional Health System and his current practice location is 331 Hospital Dr Ste A, Lebanon, Missouri. You can reach out to his office (for appointments etc.) via phone at (417) 533-6560.

Mr John C Gullage is licensed to practice in Missouri (license number 2013029322) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1558399923.

Contact Information

	Mr John C Gullage, PA-C
	331 Hospital Dr Ste A, Lebanon, MO 65536-9251
	(417) 533-6560
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr John C Gullage
Gender	Male
Speciality	Physician Assistant
Experience	38 Years
Location	331 Hospital Dr Ste A, Lebanon, Missouri
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr John C Gullage graduated from nursing school in 1987

NPI Data:

NPI Number: 1558399923
Provider Enumeration Date: 06/28/2006
Last Update Date: 03/17/2021

Medicare PECOS Information:

PECOS PAC ID: 1456334283
Enrollment ID: I20161024002830

Medical Identifiers

Medical identifiers for Mr John C Gullage such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558399923	NPI	-	NPPES
132300404	Other	MO	MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AS0400X	Physician Assistant - Surgical	PA10002052 (Washington)	Secondary
363AS0400X	Physician Assistant - Surgical	1999 (Nebraska)	Secondary
363AS0400X	Physician Assistant - Surgical	2013029322 (Missouri)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Lake Regional Health System	Osage beach, MO	Hospital
Mercy Hospital Lebanon	Lebanon, MO	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Lake Regional Medical Management Inc	3577467323	45
Lake Regional Health System	9133026776	114

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. Mr John C Gullage 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
Mr John C Gullage, PA-C 331 Hospital Dr Ste A, Lebanon, MO 65536-9251 Ph: (417) 533-6560	Mr John C Gullage, PA-C 331 Hospital Dr Ste A, Lebanon, MO 65536-9251 Ph: (417) 533-6560

Reviews and Comments

Physician Assistant Nurses in Lebanon, MO

Jason Bustin, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 120 Hospital Dr Ste 100, Lebanon, MO 65536 Phone: 417-533-6751
Mr. David Douglas, P.A.C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 755 Cowan Dr, Lebanon, MO 65536 Phone: 417-532-2805 Fax: 417-532-2865
Sara M Rose, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 331 Hospital Dr Ste A, Lebanon, MO 65536 Phone: 417-533-6560
Sandra J. Barnes-steen, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 331 Hospital Dr, Suite C, Lebanon, MO 65536 Phone: 417-533-6500 Fax: 417-533-6555
Ashley A Vanzant, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 860 Lynn St, Lebanon, MO 65536 Phone: 417-334-8337 Fax: 417-532-2067
Michael White, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 100 Hospital Dr, Lebanon, MO 65536 Phone: 417-533-6100
Kaitlynn Lindemeyer, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 120 Hospital Dr Ste 100, Lebanon, MO 65536 Phone: 417-533-6751

Mr John C Gullage, PA-C - Medicare Physician Assistant in Lebanon, MO