Dominise Mccullough, RN - Registered Nurse in Madison, WI

Dominise Mccullough, RN is a Registered Nurse based in Madison, Wisconsin. Dominise Mccullough is licensed to practice in Wisconsin (license number 247508-30) and her current practice location is 2718 Old Camden Sq, Madison, Wisconsin. She can be reached at her office (for appointments etc.) via phone at (608) 514-5697.

NPI number for Dominise Mccullough is 1013378553 and her current mailing address is 2718 Old Camden Sq, Madison, Wisconsin. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1013378553.

Contact Information

Dominise Mccullough, RN
2718 Old Camden Sq,
Madison, WI 53718-7954
(608) 514-5697
Not Available



Provider's Profile

Full NameDominise Mccullough
GenderFemale
SpecialityRegistered Nurse
Location2718 Old Camden Sq, Madison, Wisconsin
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1013378553
  • Provider Enumeration Date: 03/11/2016
  • Last Update Date: 11/22/2019

Medical Identifiers

Medical identifiers for Dominise Mccullough such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013378553NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164W00000XLicensed Practical Nurse 315839-31 (Wisconsin)Secondary
163W00000XRegistered Nurse 247508-30 (Wisconsin)Primary

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. Dominise Mccullough is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dominise Mccullough, RN
2718 Old Camden Sq,
Madison, WI 53718-7954

Ph: (608) 514-5697
Dominise Mccullough, RN
2718 Old Camden Sq,
Madison, WI 53718-7954

Ph: (608) 514-5697

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Registered Nurse Nurses in Madison, WI

Jacqueline Marie Simmons, RN
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Medicare: Not Enrolled in Medicare
Practice Location: 1914 Post Rd, Apt 211, Madison, WI 53713
Phone: 608-663-9134    
Jane Findlay Glaze, RN
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1552 University Ave, Madison, WI 53726
Phone: 608-265-5600    Fax: 608-262-9160
Emily Ann Keating,
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Medicare: Not Enrolled in Medicare
Practice Location: 2500 Overlook Terrace, Madison, WI 53705
Phone: 608-256-1901    
Mary P Barnett-lewis, RN
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 238 N Marquette St, Madison, WI 53704
Phone: 608-245-0693    
Mary Hunt, RN
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 333 E Campus Mall, #5121, Madison, WI 53715
Phone: 608-262-2832    
Mrs. Judith Lynn Mcdonald, RN
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 6205 Dominion Dr, Madison, WI 53718
Phone: 262-719-7224    
Jessica Ann Nowak, APNP
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Medicare: Accepting Medicare Assignments
Practice Location: 1 S Park St, Madison, WI 53715
Phone: 608-287-2434    Fax: 608-287-2182

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