Mr Matthew Mccullough, CRNA in Somerset, NJ - Medicare Nurse Anesthetist, Certified Registered

Mr Matthew Mccullough, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Somerset, New Jersey. His current practice location is 285 Davidson Ave, Suite 204, Somerset, New Jersey. You can reach out to his office (for appointments etc.) via phone at (732) 271-1400.

Mr Matthew Mccullough is licensed to practice in New Jersey (license number 26NJ00222400) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1629135538.

Contact Information

	Mr Matthew Mccullough, CRNA
	285 Davidson Ave, Suite 204, Somerset, NJ 08873-4153
	(732) 271-1400
	(732) 271-3544

Map and Direction

Provider's Profile

Full Name	Mr Matthew Mccullough
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	285 Davidson Ave, Somerset, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629135538
Provider Enumeration Date: 01/02/2007
Last Update Date: 01/07/2017

Medicare PECOS Information:

PECOS PAC ID: 6800953480
Enrollment ID: I20150401000513

Medical Identifiers

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

Identifier	Type	State	Issuer
1629135538	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	26NJ002224000 (New Jersey)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	26NJ00222400 (New Jersey)	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. Mr Matthew Mccullough allows following entities to bill medicare on his behalf.

Entity Name	Ultracare Anesthesia Partners Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407236110 PECOS PAC ID: 4082920525 Enrollment ID: O20200107001513

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 Matthew 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
Mr Matthew Mccullough, CRNA 285 Davidson Ave, Suite 204, Somerset, NJ 08873-4153 Ph: (732) 271-1400	Mr Matthew Mccullough, CRNA 285 Davidson Ave, Suite 204, Somerset, NJ 08873-4153 Ph: (732) 271-1400

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Somerset, NJ

Mrs. Evanthe Lucille Goins, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 285 Davidson Ave, Ste 204, Somerset, NJ 08873 Phone: 732-271-1400 Fax: 732-271-3544
Nisha Vijay, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5 J Ari Drive, Somerset, NJ 08873 Phone: 732-422-1044
Mr. Mamdoh Michael, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 285 Davidson Ave, Suite 204, Somerset, NJ 08873 Phone: 732-271-1400 Fax: 609-631-6839
Margaret A Liddy, C.R.N.A. Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 285 Davidson Ave Ste 204, Somerset, NJ 08873 Phone: 732-271-1400 Fax: 732-271-3544

Mr Matthew Mccullough, CRNA - Medicare Nurse Anesthetist, Certified Registered in Somerset, NJ