Jana Raquel Mullen, MD is a medicare enrolled "Pediatrics" physician in Paauilo, Hawaii. Her current practice location is
43-2026 Paauilo Mauka Rd, Paauilo, Hawaii. You can reach out to her office (for appointments etc.) via phone at
(808) 776-1704.
Jana Raquel Mullen is licensed to practice in Washington (license number MD60665668) 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 1043291115.
Physician's Profile
Full Name | Jana Raquel Mullen |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 43-2026 Paauilo Mauka Rd, Paauilo, Hawaii |
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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: 1043291115
- Provider Enumeration Date: 11/07/2005
- Last Update Date: 02/28/2023
Medicare PECOS Information:
- PECOS PAC ID: 8022134329
- Enrollment ID: I20110616000625
Medical Identifiers
Medical identifiers for Jana Raquel Mullen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1043291115 | NPI | - | NPPES |
1043291115 | Medicaid | WA | |
P01702028 | Other | WA | RR PTAN WVH |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | MD60665668 (Washington) | 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. Jana Raquel Mullen allows following entities to bill medicare on her behalf.
Entity Name | Roswell Clinic Corp |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1649267618 PECOS PAC ID: 9436062759 Enrollment ID: O20031111000799 |
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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. Jana Raquel 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 Address | Practice Location Address |
Jana Raquel Mullen, MD Po Box 485, Paauilo, HI 96776-0485 Ph: (808) 776-1704 | Jana Raquel Mullen, MD 43-2026 Paauilo Mauka Rd, Paauilo, HI 96776 Ph: (808) 776-1704 |
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