JALISA JONIQUE MCCULLOUGH PMHNP
NPI 1730702077
Nurse Practitioner - Psychiatric/Mental Health in Rochester, NY
About Jalisa Jonique Mccullough Pmhnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JALISA JONIQUE MCCULLOUGH PMHNP (NPI 1730702077) is an individual psychiatric/mental health provider in Rochester, New York, licensed in New York (402978) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jalisa Jonique Mccullough Pmhnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 14642 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ROCHESTER, NY 14642
ROCHESTER, NY 14642
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1730702077, enumerated as an "individual" on May 21, 2020.
The provider is located at 300 CRITTENDEN BOULEVARD BOX PSYCH ROCHESTER, NY 14642 and the phone number is (585) 275-3592.
Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.
The provider might be accepting Accepts: Providence Health Plan. Please consult your insurance carrier or call the provider to verify.
