Gina Mullen, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Johnston, Rhode Island. Her current practice location is
1443 Hartford Avenue, Johnston, Rhode Island. You can reach out to her office (for appointments etc.) via phone at
(401) 273-8100.
Gina Mullen is licensed to practice in Rhode Island (license number ISW02357) 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 1881856961.
Healthcare Provider's Profile
Full Name | Gina Mullen |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 1443 Hartford Avenue, Johnston, Rhode Island |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1881856961
- Provider Enumeration Date: 06/30/2008
- Last Update Date: 10/29/2019
Medicare PECOS Information:
- PECOS PAC ID: 8224358411
- Enrollment ID: I20151104000183
Medical Identifiers
Medical identifiers for Gina Mullen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1881856961 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | LCDP00421 (Rhode Island) | Secondary |
1041C0700X | Social Worker - Clinical | ISW02357 (Rhode Island) | 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. Gina Mullen allows following entities to bill medicare on her behalf.
Entity Name | Gateway Healthcare Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1821078932 PECOS PAC ID: 7719874908 Enrollment ID: O20040302001066 |
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Entity Name | Newport County Community Mental Health Center, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1093713174 PECOS PAC ID: 9830089812 Enrollment ID: O20040316000531 |
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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. Gina Mullen 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 Address | Practice Location Address |
Gina Mullen, LICSW 1443 Hartford Ave, Johnston, RI 02919-3224 Ph: (401) 273-8100 | Gina Mullen, LICSW 1443 Hartford Avenue, Johnston, RI 02919 Ph: (401) 273-8100 |
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