Jamie Kristin Mullin, MD is a medicare enrolled "Emergency Medicine" physician in Cudahy, Wisconsin. Her current practice location is
5900 S Lake Dr, Cudahy, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(414) 649-6588.
Jamie Kristin Mullin is licensed to practice in Wisconsin (license number 49720020) 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 1205912649.
Physician's Profile
Full Name | Jamie Kristin Mullin |
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Gender | Female |
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Speciality | Emergency Medicine |
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Location | 5900 S Lake Dr, Cudahy, Wisconsin |
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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: 1205912649
- Provider Enumeration Date: 10/28/2006
- Last Update Date: 07/18/2008
Medicare PECOS Information:
- PECOS PAC ID: 2668544073
- Enrollment ID: I20080630000482
Medical Identifiers
Medical identifiers for Jamie Kristin Mullin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1205912649 | NPI | - | NPPES |
005 | Other | WI | BCBS |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 49720020 (Wisconsin) | 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. Jamie Kristin Mullin allows following entities to bill medicare on her behalf.
Entity Name | Aurora Medical Group, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
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Entity Name | Ermed, Sc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1023076296 PECOS PAC ID: 5092608554 Enrollment ID: O20040206000764 |
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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. Jamie Kristin Mullin 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 |
Jamie Kristin Mullin, MD 5900 S Lake Dr, Cudahy, WI 53110-3171 Ph: (414) 649-6588 | Jamie Kristin Mullin, MD 5900 S Lake Dr, Cudahy, WI 53110-3171 Ph: (414) 649-6588 |
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