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Elizabeth Ann Cull

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

9070 Dixie Hwy, Suite 6, Louisville, KY 40258-1007

PECOS Enrollment

This provider is enrolled in PECOS as ELIZABETH CULL.

Based on the most recent information from CMS, provider Elizabeth Ann Cull is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1356677678
Provider Type
Individual
Full Name
Cull, Elizabeth Ann
Credential
ARNP

Gender
Female
Sole Proprietor
No
Enumeration Date
10/21/2009
Last Updated
12/3/2020

Contact Information

Practice Location

9070 Dixie Hwy, Suite 6, Louisville, KY 40258-1007

(502) 271-3236

(502) 271-3356

Mailing Location

PO Box 950248, Louisville, KY 40295-0248

(502) 253-1035

(502) 253-1037

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 3006294 Kentucky

Provider Identifiers

ID	Description	Issuer
ID 7100097600	Description Medicaid	Issuer Unlisted Kentucky

Elizabeth Ann Cull

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

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