Angela Mullis-ingram, NP is a medicare enrolled "Nurse Practitioner - Family" physician in Orlando, Florida. Her current practice location is
408 E Michigan St, Orlando, Florida. You can reach out to her office (for appointments etc.) via phone at
(866) 825-3227.
Angela Mullis-ingram is licensed to practice in Florida (license number 3093102) 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 1922045251.
Physician's Profile
| Full Name | Angela Mullis-ingram |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 408 E Michigan St, Orlando, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1922045251
- Provider Enumeration Date: 06/02/2006
- Last Update Date: 10/23/2007
Medicare PECOS Information:
- PECOS PAC ID: 3375504210
- Enrollment ID: I20041023000012
Medical Identifiers
Medical identifiers for Angela Mullis-ingram such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1922045251 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207P00000X | Emergency Medicine | ARNP3093102 (Florida) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 3093102 (Florida) | 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. Angela Mullis-ingram allows following entities to bill medicare on her behalf.
| Entity Name | Emergency Physicians Of Central Florida Llp |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1326033341
PECOS PAC ID: 1850296567
Enrollment ID: O20031205000109 |
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| Entity Name | Guidewell Emergency Medicine Doctors, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1629497235
PECOS PAC ID: 8224352919
Enrollment ID: O20150129001176 |
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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. Angela Mullis-ingram 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 |
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Angela Mullis-ingram, NP
161 Washington St Fl 14, Eight Tower Bridge,
Conshohocken, PA 19428-2083
Ph: (866) 825-3227 | Angela Mullis-ingram, NP
408 E Michigan St,
Orlando, FL 32806-4542
Ph: (866) 825-3227 |
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