Dr Andre Levester Mccollough, MD - Medicare Internal Medicine in Mishawaka, IN

Dr Andre Levester Mccollough, MD is a medicare enrolled "Internal Medicine" physician in Mishawaka, Indiana. His current practice location is 4455 Edison Lakes Pkwy, Mishawaka, Indiana. You can reach out to his office (for appointments etc.) via phone at (574) 231-6134.

Dr Andre Levester Mccollough is licensed to practice in New York (license number 281409) 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 1316294200.

Contact Information

Dr Andre Levester Mccollough, MD
4455 Edison Lakes Pkwy,
Mishawaka, IN 46545-1414
(574) 231-6134
(574) 231-6845



Physician's Profile

Full NameDr Andre Levester Mccollough
GenderMale
SpecialityInternal Medicine
Location4455 Edison Lakes Pkwy, Mishawaka, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1316294200
  • Provider Enumeration Date: 08/09/2012
  • Last Update Date: 10/10/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 4587964549
  • Enrollment ID: I20151123001727

Medical Identifiers

Medical identifiers for Dr Andre Levester Mccollough such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316294200NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 01078115A (Indiana)Secondary
207R00000XInternal Medicine 281409 (New York)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. Dr Andre Levester Mccollough allows following entities to bill medicare on his behalf.
Entity NameCogent Medical Care Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912941238
PECOS PAC ID: 7315836780
Enrollment ID: O20040312001215

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Entity NameSt Joseph's Physician Health Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154376770
PECOS PAC ID: 9436041431
Enrollment ID: O20040325001159

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Entity NameApogee Medical Group, New York, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841520236
PECOS PAC ID: 4587793294
Enrollment ID: O20100518000664

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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. Dr Andre Levester Mccollough 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
Dr Andre Levester Mccollough, MD
623 Macon St, Apt 3,
Brooklyn, NY 11233-1515

Ph: (646) 251-8679
Dr Andre Levester Mccollough, MD
4455 Edison Lakes Pkwy,
Mishawaka, IN 46545-1414

Ph: (574) 231-6134

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Internal Medicine Doctors in Mishawaka, IN

Mini Sra,
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 5215 Holy Cross Pkwy, Mishawaka, IN 46545
Phone: 574-335-2521    Fax: 574-335-2262
Rafat H Ansari, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 5340 Holy Cross Pkwy, Mishawaka, IN 46545
Phone: 574-234-5123    Fax: 574-282-2813
Dr. Elizabeth Marie Lauber, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 5215 Holy Cross Pkwy, Mishawaka, IN 46545
Phone: 574-335-2521    Fax: 574-335-2262
Margaret Ann Quate-operacz, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3665 Park Pl W, Suite 300, Mishawaka, IN 46545
Phone: 574-607-4724    Fax: 574-607-4725
Dr. Sayuri Cheruvu, M.B.,B.S
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 5340 Holy Cross Pkwy, Mishawaka, IN 46545
Phone: 574-237-1328    Fax: 574-237-1348
Anandkumar M Koyani, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 303 S Main St, Suite 109, Mishawaka, IN 46544
Phone: 574-256-0235    Fax: 574-256-0236
Dr. Yufeng Kevin Wu, MD
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 301 E Day Rd, Ste 200, Mishawaka, IN 46545
Phone: 574-204-7252    Fax: 574-968-0468

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