Trista Mullins, | |
11660 Upper Gilchrist Rd, Mount Vernon, OH 43050-9084 | |
(740) 399-2200 | |
Not Available |
Full Name | Trista Mullins |
---|---|
Gender | Female |
Speciality | Dentist |
Location | 11660 Upper Gilchrist Rd, Mount Vernon, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871073478 | NPI | - | NPPES |
0423186 | Medicaid | OH | |
300019367 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 019.031815 (Illinois) | Secondary |
122300000X | Dentist | 12013038A (Indiana) | Secondary |
122300000X | Dentist | 30.026333 (Ohio) | Primary |
Entity Name | Healthlinc Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528262581 PECOS PAC ID: 7618929373 Enrollment ID: O20050210000929 |
Mailing Address | Practice Location Address |
---|---|
Trista Mullins, 338 E Maple St, Granville, OH 43023-1415 Ph: (812) 267-6311 | Trista Mullins, 11660 Upper Gilchrist Rd, Mount Vernon, OH 43050-9084 Ph: (740) 399-2200 |
Dr. Bailey Nicole Spearman, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1684 Venture Dr Ste C, Mount Vernon, OH 43050 Phone: 740-397-4097 | |
Megan Eileen Howard, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 122 E Vine St, Mount Vernon, OH 43050 Phone: 740-397-7900 | |
Dr. Jack B Mcewan, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1650 Coshocton Ave, Suite D, Mount Vernon, OH 43050 Phone: 740-392-2000 Fax: 740-392-2002 | |
Chris Martin, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 5 N Gay St Rm 201, Mount Vernon, OH 43050 Phone: 740-397-3525 | |
Dr. Michelle D Carpenter, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1684 Venture Drive, Ste C, Mount Vernon, OH 43050 Phone: 740-397-4097 Fax: 740-397-4142 | |
Dr. Tanner Ray Bamforth, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1558 Coshocton Ave, Mount Vernon, OH 43050 Phone: 740-200-5318 | |
Dr. John Campbell Fowler, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 104 E High St, Mount Vernon, OH 43050 Phone: 740-392-5966 |