Jennifer Latrise Mullen, DO in Maumee, OH

Jennifer Latrise Mullen, DO is a medicare enrolled "Pediatrics" physician in Maumee, Ohio. Her current practice location is 660 Beaver Creek Cir, Suite 100, Maumee, Ohio. You can reach out to her office (for appointments etc.) via phone at (419) 891-6221.

Jennifer Latrise Mullen is licensed to practice in Ohio (license number 34010645) 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 1588892483.

Contact Information

	Jennifer Latrise Mullen, DO
	660 Beaver Creek Cir, Suite 100, Maumee, OH 43537-1745
	(419) 891-6221
	(419) 893-3394

Map and Direction

Physician's Profile

Full Name	Jennifer Latrise Mullen
Gender	Female
Speciality	Pediatrics
Location	660 Beaver Creek Cir, Maumee, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1588892483
Provider Enumeration Date: 06/30/2009
Last Update Date: 11/03/2023

Medicare PECOS Information:

PECOS PAC ID: 4880842186
Enrollment ID: I20120911000639

Medical Identifiers

Medical identifiers for Jennifer Latrise Mullen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588892483	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	34010645 (Ohio)	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. Jennifer Latrise Mullen allows following entities to bill medicare on her behalf.

Entity Name	Promedica Central Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043270150 PECOS PAC ID: 2365348190 Enrollment ID: O20031211000226

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. Jennifer Latrise 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
Jennifer Latrise Mullen, DO 660 Beaver Creek Cir, Suite 100, Maumee, OH 43537-1745 Ph: (419) 891-6221	Jennifer Latrise Mullen, DO 660 Beaver Creek Cir, Suite 100, Maumee, OH 43537-1745 Ph: (419) 891-6221

Reviews and Comments

Pediatrics Doctors in Maumee, OH

Chit-guan Goh, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 660 Beaver Creek Cir, Suite 100, Maumee, OH 43537 Phone: 419-891-6221 Fax: 419-893-3394
Marwa El-bohy, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 6005 Monclova Rd Ste 230, Maumee, OH 43537 Phone: 419-893-7211 Fax: 419-893-8882
Fadia M Abaza, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1661 Holland Rd, Ste 100, Maumee, OH 43537 Phone: 419-891-6262 Fax: 419-891-6263
Shari Sontchi, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 660 Beaver Creek Cir, Suite 100, Maumee, OH 43537 Phone: 419-891-6221 Fax: 419-893-3394
Rebecca Clark, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 660 Beaver Creek Cir, Suite 100, Maumee, OH 43537 Phone: 419-891-6221 Fax: 419-893-3394
Dr. Kathryn Rachel Davis, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 5757 Monclova Rd Ste 10, Maumee, OH 43537 Phone: 419-887-0803 Fax: 419-887-0817
Antoinette L Medaglia, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 660 Beaver Creek Cir, Suite 100, Maumee, OH 43537 Phone: 419-891-6221 Fax: 419-893-3394

Jennifer Latrise Mullen, DO - Medicare Pediatrics in Maumee, OH