Dr Mary Mullen, MD - Medicare Hospitalist in Dayton, OH

Dr Mary Mullen, MD is a medicare enrolled "Hospitalist" physician in Dayton, Ohio. She went to Indiana University School Of Medicine and graduated in 2015 and has 9 years of diverse experience with area of expertise as Hospitalist. She is a member of the group practice Kettering Independent Medical Group Inc and her current practice location is 405 W Grand Ave, Dayton, Ohio. You can reach out to her office (for appointments etc.) via phone at (937) 723-3276.

Dr Mary Mullen is licensed to practice in Ohio (license number 35.146965) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1780079186.

Contact Information

Dr Mary Mullen, MD
405 W Grand Ave,
Dayton, OH 45405-7538
(937) 723-3276
(937) 723-3277

Map and Direction




Physician's Profile

Full NameDr Mary Mullen
GenderFemale
SpecialityHospitalist
Experience9 Years
Location405 W Grand Ave, Dayton, Ohio
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Mary Mullen attended and graduated from Indiana University School Of Medicine in 2015
  NPI Data:
  • NPI Number: 1780079186
  • Provider Enumeration Date: 04/02/2015
  • Last Update Date: 05/05/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5193030724
  • Enrollment ID: I20230524000675

Medical Identifiers

Medical identifiers for Dr Mary Mullen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780079186NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 52306 (Kentucky)Secondary
208000000XPediatrics 52306 (Kentucky)Secondary
208M00000XHospitalist 35.146965 (Ohio)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Grandview And Southview HospitalsDayton, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Kettering Independent Medical Group Inc3173710936577

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. Dr Mary Mullen allows following entities to bill medicare on her behalf.
Entity NameKettering Independent Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629387865
PECOS PAC ID: 3173710936
Enrollment ID: O20101207000425

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. Dr Mary 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 AddressPractice Location Address
Dr Mary Mullen, MD
2002 Oakshade Ct,
Crestwood, KY 40014-2000

Ph: (765) 586-0868
Dr Mary Mullen, MD
405 W Grand Ave,
Dayton, OH 45405-7538

Ph: (937) 723-3276

Reviews and Comments


Hospitalist Doctors in Dayton, OH

Shamsuddin C Pracha, MD
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 8881 N Main St, Dayton, OH 45415
Phone: 937-832-5292    Fax: 937-832-7505
Bhumit Patel, M.D
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 405 W Grand Ave, Dayton, OH 45405
Phone: 937-723-3276    Fax: 937-723-3277
Muhammad Saleh Rashid Mian, M.D
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 33 W Rahn Rd, Dayton, OH 45429
Phone: 937-433-8990    Fax: 937-433-8691
Dr. Damynus Nyakoe Gekonde, M.D
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 405 W Grand Ave, Dayton, OH 45405
Phone: 937-723-3276    Fax: 937-723-3276
Dr. Mompoloki Benson Kealeboga Nkhumane, MD
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 405 W Grand Ave, Dayton, OH 45405
Phone: 937-395-6665    Fax: 937-395-6668
Dr. Asheesh Bothra, M.B.,B.S.
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 33 W Rahn Rd, Dayton, OH 45429
Phone: 937-433-8990    Fax: 937-433-8691
Ahmed N Hadid, M.D.
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 405 W Grand Ave, Dayton, OH 45405
Phone: 937-723-3276    Fax: 937-723-3277

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.