Rodney R Mccullough, MA in Bridgeport, WV - Medicare Psychologist Provider

Rodney R Mccullough, MA is a medicare enrolled "Psychologist" provider in Bridgeport, West Virginia. His current practice location is 170 Thompson Dr, Suite 103, Bridgeport, West Virginia. You can reach out to his office (for appointments etc.) via phone at (304) 842-6609.

Rodney R Mccullough is licensed to practice in West Virginia (license number 774) 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 1093982506.

Contact Information

	Rodney R Mccullough, MA
	170 Thompson Dr, Suite 103, Bridgeport, WV 26330-2608
	(304) 842-6609
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Rodney R Mccullough
Gender	Male
Speciality	Psychologist
Location	170 Thompson Dr, Bridgeport, West Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093982506
Provider Enumeration Date: 05/14/2008
Last Update Date: 07/28/2010

Medicare PECOS Information:

PECOS PAC ID: 8527369453
Enrollment ID: I20151218001661

Medical Identifiers

Medical identifiers for Rodney R Mccullough such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093982506	NPI	-	NPPES
3810012357	Medicaid	WV

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	774 (West Virginia)	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. Rodney R Mccullough allows following entities to bill medicare on his behalf.

Entity Name	Banyan Tree Counseling Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689185704 PECOS PAC ID: 1153680343 Enrollment ID: O20180116001072

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. Rodney R 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
Rodney R Mccullough, MA Po Box 271, Worthington, WV 26591-0271 Ph: (304) 657-1656	Rodney R Mccullough, MA 170 Thompson Dr, Suite 103, Bridgeport, WV 26330-2608 Ph: (304) 842-6609

Reviews and Comments

Psychologist in Bridgeport, WV

Ms. Narine Karakashian, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 114 Ventura Dr, Bridgeport, WV 26330 Phone: 302-399-8325
Mr. Robert Victor Leydon, M.A. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 141 State St, Bridgeport, WV 26330 Phone: 304-842-6609 Fax: 304-842-6619
Kristi Williams, M.A., LSW Psychologist Medicare: Not Enrolled in Medicare Practice Location: 231 Davis St, Bridgeport, WV 26330 Phone: 304-842-0044 Fax: 304-842-0033
Dr. Amy Nicole Hebb, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 65 Professional Place, Suite 101, Bridgeport, WV 26330 Phone: 304-842-6463 Fax: 304-842-8180
Jeffery S Collins, MA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 917 W Main St, Suite 203, Bridgeport, WV 26330 Phone: 304-842-7007 Fax: 304-842-7099
Michelle Lee Wetzel, MA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 917 W Main St, Suite 203, Bridgeport, WV 26330 Phone: 304-842-7007 Fax: 304-842-7099

Rodney R Mccullough, MA - Medicare Psychologist in Bridgeport, WV