Martha Lynn Mccollough, MD - Medicare Dermatology in Tyler, TX

Martha Lynn Mccollough, MD is a medicare enrolled "Dermatology" physician in Tyler, Texas. She went to Temple University School Of Medicine and graduated in 1979 and has 45 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Oliver Street 5.01(a) Inc, Oliver Street 5.01(a) Inc and her current practice location is 1367 Dominion Plaza, Tyler, Texas. You can reach out to her office (for appointments etc.) via phone at (903) 534-6200.

Martha Lynn Mccollough is licensed to practice in Texas (license number J5401) 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 1972530954.

Contact Information

Martha Lynn Mccollough, MD
1367 Dominion Plaza,
Tyler, TX 75703-1013
(903) 534-6200
Not Available



Physician's Profile

Full NameMartha Lynn Mccollough
GenderFemale
SpecialityDermatology
Experience45 Years
Location1367 Dominion Plaza, Tyler, Texas
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:
  • Martha Lynn Mccollough attended and graduated from Temple University School Of Medicine in 1979
  NPI Data:
  • NPI Number: 1972530954
  • Provider Enumeration Date: 06/27/2006
  • Last Update Date: 05/22/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 5698801637
  • Enrollment ID: I20100330000431

Medical Identifiers

Medical identifiers for Martha Lynn Mccollough such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1972530954NPI-NPPES
85Z813OtherTXBLUE CROSS AND BLUE SHIELD PATHOLOGY
044554601MedicaidTX
070012699OtherTXRAILROAD MEDICARE PTAN
8A2686OtherTXBLUE CROSS AND BLUE SHIELD CLINIC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology J5401 (Texas)Primary
207ND0900XDermatology - Dermatopathology J5401 (Texas)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Oliver Street 5.01(a) Inc0042464125141
Oliver Street 5.01(a) Inc0042464125141

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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. Martha Lynn Mccollough allows following entities to bill medicare on her behalf.
Entity NameOliver Street 5.01(a) Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457695413
PECOS PAC ID: 0042464125
Enrollment ID: O20130128000189

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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. Martha Lynn 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
Martha Lynn Mccollough, MD
1367 Dominion Plaza,
Tyler, TX 75703-1013

Ph: () -
Martha Lynn Mccollough, MD
1367 Dominion Plaza,
Tyler, TX 75703-1013

Ph: (903) 534-6200

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Dermatology Doctors in Tyler, TX

Shanna Burris Meads, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 1367 Dominion Plz, Tyler, TX 75703
Phone: 903-534-6200    
Stephen John Beck, MD
Dermatology
Medicare: Not Enrolled in Medicare
Practice Location: 1367 Dominion Plz, Tyler, TX 75703
Phone: 903-534-6200    Fax: 903-939-0755
Bradley Scott Graham, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 1367 Dominion Plaza, Tyler, TX 75703
Phone: 903-534-6200    
Alma Criseida Berlingeri Ramos, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 1367 Dominion Plz, Tyler, TX 75703
Phone: 903-534-6200    Fax: 903-939-0755
Elizabeth Stripling Morris, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 1367 Dominion Plaza, Tyler, TX 75703
Phone: 903-534-6200    
Lawrence Lazelle Anderson, MD
Dermatology
Medicare: Medicare Enrolled
Practice Location: 1367 Dominion Plaza, Tyler, TX 75703
Phone: 903-534-6200    
Thomas Lambert Jr., MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 5791 Copeland Rd, Tyler, TX 75703
Phone: 903-509-2020    

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