Ms Laura Lucille Mccully, CNM - Medicare Advanced Practice Midwife in Jackson, MI

Ms Laura Lucille Mccully, CNM is a medicare enrolled "Advanced Practice Midwife" in Jackson, Michigan. Her current practice location is 2200 Springport Rd, Jackson, Michigan. You can reach out to her office (for appointments etc.) via phone at (517) 784-9356.

Ms Laura Lucille Mccully is licensed to practice in Michigan (license number 4704201104) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1558368910.

Contact Information

Ms Laura Lucille Mccully, CNM
2200 Springport Rd,
Jackson, MI 49202-1432
(517) 784-9356
(517) 780-9286



Provider's Profile

Full NameMs Laura Lucille Mccully
GenderFemale
SpecialityAdvanced Practice Midwife
Location2200 Springport Rd, Jackson, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1558368910
  • Provider Enumeration Date: 06/30/2005
  • Last Update Date: 07/09/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 3173572906
  • Enrollment ID: I20050119000071

Medical Identifiers

Medical identifiers for Ms Laura Lucille Mccully such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558368910NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367A00000XAdvanced Practice Midwife 4704201104 (Michigan)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. Ms Laura Lucille Mccully allows following entities to bill medicare on her behalf.
Entity NameAdvanced Gynecology Specialist Of Marshall Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376961672
PECOS PAC ID: 1557593712
Enrollment ID: O20140422002201

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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. Ms Laura Lucille Mccully 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
Ms Laura Lucille Mccully, CNM
2298 Springport Rd, Ste B,
Jackson, MI 49202-1475

Ph: (517) 784-3950
Ms Laura Lucille Mccully, CNM
2200 Springport Rd,
Jackson, MI 49202-1432

Ph: (517) 784-9356

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Advanced Practice Midwife Nurses in Jackson, MI

Kimberley Johnson-crisanti, CNM
Advanced Practice Midwife
Medicare: Not Enrolled in Medicare
Practice Location: 1100 E Michigan Ave Ste 202, 205 North East Ave., Jackson, MI 49201
Phone: 517-788-4800    Fax: 517-841-6917

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