Samantha Lynn Mccullough, FNP-C - Medicare Nurse Practitioner in Owasso, OK

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Samantha Lynn Mccullough, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Owasso, Oklahoma. Her current practice location is 10728 N 152nd East Ave, Owasso, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (918) 914-0675.

Samantha Lynn Mccullough is licensed to practice in Oklahoma (license number 209493) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1003542168.

Contact Information

Samantha Lynn Mccullough, FNP-C
10728 N 152nd East Ave,
Owasso, OK 74055-6384
(918) 914-0675
Not Available

Map and Direction




Provider's Profile

Full NameSamantha Lynn Mccullough
GenderFemale
SpecialityNurse Practitioner - Family
Location10728 N 152nd East Ave, Owasso, Oklahoma
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1003542168
  • Provider Enumeration Date: 07/29/2022
  • Last Update Date: 07/29/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 6305219106
  • Enrollment ID: I20230227000164

Medical Identifiers

Medical identifiers for Samantha Lynn Mccullough such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003542168NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse R0124315 (Oklahoma)Secondary
363LF0000XNurse Practitioner - Family 209493 (Oklahoma)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. Samantha Lynn Mccullough allows following entities to bill medicare on her behalf.
Entity NameMedwise Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629604434
PECOS PAC ID: 8820410970
Enrollment ID: O20200619000314

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. Samantha Lynn 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
Samantha Lynn Mccullough, FNP-C
10728 N 152nd East Ave,
Owasso, OK 74055-6384

Ph: (918) 914-0675		Samantha Lynn Mccullough, FNP-C
10728 N 152nd East Ave,
Owasso, OK 74055-6384

Ph: (918) 914-0675

Reviews and Comments


Nurse Practitioner Nurses in Owasso, OK

Ms. Sandra Jean Heath, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 8810 N 127th East Ave, Owasso, OK 74055
Phone: 918-716-0028    
Samantha England,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 12105 E 90th St N, Owasso, OK 74055
Phone: 918-645-9325    
Julie Shaffer, APRN, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 11426 N 134th East Ave, Owasso, OK 74055
Phone: 918-727-2273    
Rachel Ann Johnson, APRN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 12455 E 100th St N, Owasso, OK 74055
Phone: 405-757-7818    Fax: 405-703-0645
Elizabeth Flores, APRNCNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 12451 E 100th St N, Owasso, OK 74055
Phone: 918-274-5000    
Sharalee Savage, ARNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 15214 E 90th Ct N, Owasso, OK 74055
Phone: 918-272-2170    
Ilona Willyard, PMHNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 8422 N 123rd East Ave, Owasso, OK 74055
Phone: 918-858-4353    

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.