Jeremy Mullavey, ARNP is a medicare enrolled "Nurse Practitioner - Critical Care Medicine" physician in Spokane, Washington. His current practice location is
62 W 7th Ave Ste 110, Spokane, Washington. You can reach out to his office (for appointments etc.) via phone at
(509) 456-0262.
Jeremy Mullavey is licensed to practice in Washington (license number AP61577243) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1245076553.
Physician's Profile
Full Name | Jeremy Mullavey |
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Gender | Male |
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Speciality | Nurse Practitioner - Critical Care Medicine |
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Location | 62 W 7th Ave Ste 110, Spokane, Washington |
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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: 1245076553
- Provider Enumeration Date: 07/05/2024
- Last Update Date: 07/05/2024
Medicare PECOS Information:
- PECOS PAC ID: 9234676479
- Enrollment ID: I20240805004015
Medical Identifiers
Medical identifiers for Jeremy Mullavey such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1245076553 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207RA0001X | Internal Medicine - Advanced Heart Failure And Transplant Cardiology | AP61577243 (Washington) | Secondary |
363LC0200X | Nurse Practitioner - Critical Care Medicine | AP61577243 (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. Jeremy Mullavey allows following entities to bill medicare on his behalf.
Entity Name | Providence Health & Services-wa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1538311287 PECOS PAC ID: 7911069703 Enrollment ID: O20090105000365 |
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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. Jeremy Mullavey 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 |
Jeremy Mullavey, ARNP 4308 E 41st Ave, Spokane, WA 99223-1279 Ph: () - | Jeremy Mullavey, ARNP 62 W 7th Ave Ste 110, Spokane, WA 99204-2321 Ph: (509) 456-0262 |
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