Nicholas Michael Mccullen, OD is a medicare enrolled "Optometrist" provider in Centerville, Iowa. He went to Southern College Of Optometry and graduated in 2010 and has 15 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Real Optics Inc and his current practice location is
125 N 13th St, Centerville, Iowa. You can reach out to his office (for appointments etc.) via phone at
(641) 437-4099.
Nicholas Michael Mccullen is licensed to practice in Iowa (license number 002489) 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 1376854745.
Healthcare Provider's Profile
| Full Name | Nicholas Michael Mccullen |
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| Gender | Male |
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| Speciality | Optometry |
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| Experience | 15 Years |
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| Location | 125 N 13th St, Centerville, Iowa |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Nicholas Michael Mccullen attended and graduated from Southern College Of Optometry in 2010
NPI Data:
- NPI Number: 1376854745
- Provider Enumeration Date: 06/30/2010
- Last Update Date: 10/22/2013
Medicare PECOS Information:
- PECOS PAC ID: 8527200286
- Enrollment ID: I20130808000180
Medical Identifiers
Medical identifiers for Nicholas Michael Mccullen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1376854745 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 002489 (Iowa) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Real Optics Inc | 9830218122 | 6 |
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. Nicholas Michael Mccullen allows following entities to bill medicare on his behalf.
| Provider Name | Real Optics Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1003970344
PECOS PAC ID: 9830218122
Enrollment ID: O20200723000363 |
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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. Nicholas Michael Mccullen 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 |
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Nicholas Michael Mccullen, OD
125 N 13th St,
Centerville, IA 52544-1705
Ph: (641) 437-4099 | Nicholas Michael Mccullen, OD
125 N 13th St,
Centerville, IA 52544-1705
Ph: (641) 437-4099 |
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