Kimberly D Mcculloch, MD - Medicare Gynecological Oncology in Logan, UT

Kimberly D Mcculloch, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Logan, Utah. She went to University Of North Dakota School Of Medicine and graduated in 1999 and has 25 years of diverse experience with area of expertise as Gynecological Oncology. She is a member of the group practice Intermountain Healthcare Services, Inc and her current practice location is 1350 N 500 E, Logan, Utah. You can reach out to her office (for appointments etc.) via phone at (435) 792-1920.

Kimberly D Mcculloch is licensed to practice in Utah (license number 52840231205) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1154331585.

Contact Information

Kimberly D Mcculloch, MD
1350 N 500 E,
Logan, UT 84341-2400
(435) 792-1920
Not Available



Physician's Profile

Full NameKimberly D Mcculloch
GenderFemale
SpecialityGynecological Oncology
Experience25 Years
Location1350 N 500 E, Logan, Utah
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kimberly D Mcculloch attended and graduated from University Of North Dakota School Of Medicine in 1999
  NPI Data:
  • NPI Number: 1154331585
  • Provider Enumeration Date: 08/08/2006
  • Last Update Date: 07/17/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 6608777909
  • Enrollment ID: I20080116000136

Medical Identifiers

Medical identifiers for Kimberly D Mcculloch such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154331585NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 52840231205 (Utah)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Logan Regional HospitalLogan, UTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Intermountain Healthcare Services, Inc18502094203063

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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. Kimberly D Mcculloch allows following entities to bill medicare on her behalf.
Entity NameIhc Health Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942325154
PECOS PAC ID: 1850209420
Enrollment ID: O20080610000303

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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. Kimberly D Mcculloch 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
Kimberly D Mcculloch, MD
1350 N 500 E,
Logan, UT 84341-2400

Ph: (435) 792-1920
Kimberly D Mcculloch, MD
1350 N 500 E,
Logan, UT 84341-2400

Ph: (435) 792-1920

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Obstetrics & Gynecology Doctors in Logan, UT

Ernest Brett Horsley, DO
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 1350 N 500 E, Logan, UT 84341
Phone: 435-792-1920    
Dr. Francis Neal Mortenson, M.D.
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 1141 Fox Farm Rd, Logan, UT 84321
Phone: 435-753-0870    Fax: 435-753-0870
James P Benedict, MD
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 1350 N 500 E, Logan, UT 84341
Phone: 435-792-1920    
Mrs. Anne Sadler Blackett, DO
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1325 N 600 E, Suite 102, Logan, UT 84341
Phone: 435-753-9999    
David A Kirkman, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1325 No 600e, #102, Logan, UT 84341
Phone: 435-753-9999    Fax: 435-753-2301
Dr. Jon W Ahlstrom, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 550 E 1400 N, Suite I, Logan, UT 84341
Phone: 435-753-1545    

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