Loretta A Mullally, MD is a medicare enrolled "General Practice" physician in Croswell, Michigan. Her current practice location is
5525 E Peck Rd, Croswell, Michigan. You can reach out to her office (for appointments etc.) via phone at
(810) 679-2950.
Loretta A Mullally is licensed to practice in Michigan (license number LM051024) 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 1467414227.
Physician's Profile
Full Name | Loretta A Mullally |
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Gender | Female |
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Speciality | General Practice |
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Location | 5525 E Peck Rd, Croswell, Michigan |
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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: 1467414227
- Provider Enumeration Date: 04/05/2006
- Last Update Date: 06/09/2008
Medicare PECOS Information:
- PECOS PAC ID: 3577722487
- Enrollment ID: I20120313000671
Medical Identifiers
Medical identifiers for Loretta A Mullally such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1467414227 | NPI | - | NPPES |
0762000 | Other | | BCBSM |
2684076 | Medicaid | MI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | LM051024 (Michigan) | Primary |
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. Loretta A Mullally 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 |
Loretta A Mullally, MD 5525 E Peck Rd, Croswell, MI 48422 Ph: (810) 679-2950 | Loretta A Mullally, MD 5525 E Peck Rd, Croswell, MI 48422 Ph: (810) 679-2950 |
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