Dr Susan Christine Mullooly, DO is a medicare enrolled "Emergency Medicine" physician in Grundy, Virginia. She went to Lake Erie College Of Osteopathic Medicine, Erie and graduated in 2013 and has 11 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Cmh Physician Services Llc, Ohio Valley Physicians Inc and her current practice location is
1535 Slate Creek Rd, Grundy, Virginia. You can reach out to her office (for appointments etc.) via phone at
(276) 935-1000.
Dr Susan Christine Mullooly is licensed to practice in Virginia (license number 0102206990) 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 1740627363.
Physician's Profile
| Full Name | Dr Susan Christine Mullooly |
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| Gender | Female |
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| Speciality | Internal Medicine |
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| Experience | 11 Years |
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| Location | 1535 Slate Creek Rd, Grundy, Virginia |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Susan Christine Mullooly attended and graduated from Lake Erie College Of Osteopathic Medicine, Erie in 2013
NPI Data:
- NPI Number: 1740627363
- Provider Enumeration Date: 05/23/2013
- Last Update Date: 09/27/2022
Medicare PECOS Information:
- PECOS PAC ID: 8426366691
- Enrollment ID: I20220401001540
Medical Identifiers
Medical identifiers for Dr Susan Christine Mullooly such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1740627363 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207P00000X | Emergency Medicine | 2946 (West Virginia) | Secondary |
| 207P00000X | Emergency Medicine | 0102206990 (Virginia) | Primary |
| 207R00000X | Internal Medicine | OT015417 (Pennsylvania) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Cmh Physician Services Llc | 3779551445 | 110 |
| Ohio Valley Physicians Inc | 8729032966 | 111 |
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 Susan Christine Mullooly allows following entities to bill medicare on her behalf.
| Entity Name | Cmh Physician Services Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1194760645
PECOS PAC ID: 3779551445
Enrollment ID: O20040921000171 |
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| Entity Name | Ohio Valley Physicians Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1962433177
PECOS PAC ID: 8729032966
Enrollment ID: O20200124001561 |
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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. Dr Susan Christine Mullooly 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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Dr Susan Christine Mullooly, DO
2520 Valley Dr,
Point Pleasant, WV 25550-2031
Ph: (304) 675-4340 | Dr Susan Christine Mullooly, DO
1535 Slate Creek Rd,
Grundy, VA 24614-6974
Ph: (276) 935-1000 |
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