Marie Mulligan, MD in Santa Rosa, CA - Medicare Family Medicine

Marie Mulligan, MD is a medicare enrolled "Family Medicine" physician in Santa Rosa, California. Her current practice location is 1110 N Dutton Ave, Santa Rosa, California. You can reach out to her office (for appointments etc.) via phone at (707) 303-3600.

Marie Mulligan is licensed to practice in California (license number G53063) 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 1477682896.

Contact Information

	Marie Mulligan, MD
	1110 N Dutton Ave, Santa Rosa, CA 95401-4606
	(707) 303-3600
	Not Available

Map and Direction

Physician's Profile

Full Name	Marie Mulligan
Gender	Female
Speciality	Family Medicine
Location	1110 N Dutton Ave, Santa Rosa, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477682896
Provider Enumeration Date: 03/02/2007
Last Update Date: 08/08/2018

Medicare PECOS Information:

PECOS PAC ID: 6901055664
Enrollment ID: I20230727003834

Medical Identifiers

Medical identifiers for Marie Mulligan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477682896	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	G53063 (California)	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. Marie Mulligan allows following entities to bill medicare on her behalf.

Entity Name	Santa Rosa Community Health Centers
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578631172 PECOS PAC ID: 0345130423 Enrollment ID: O20040319001444

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. Marie Mulligan 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
Marie Mulligan, MD 751 Lombardi Ct Ste B, Santa Rosa, CA 95407-6793 Ph: (707) 547-2222	Marie Mulligan, MD 1110 N Dutton Ave, Santa Rosa, CA 95401-4606 Ph: (707) 303-3600

Reviews and Comments

Family Medicine Doctors in Santa Rosa, CA

Dr. Lyman Bowen Greaves Jr., M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3569 Round Barn Cir, Santa Rosa, CA 95403 Phone: 707-303-3600 Fax: 707-303-3611
Ellen Betty Kruusmagi, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 144 Stony Point Rd, Santa Rosa, CA 95401 Phone: 707-521-4500 Fax: 707-544-4626
Dr. Lucia Dei Roncalli, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1010 Sundown Trl, Santa Rosa, CA 95404 Phone: 510-407-4697
Dr. Michael G Carlston, M.D. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 2448 Guerneville Rd, Suite 900, Santa Rosa, CA 95403 Phone: 707-545-1554 Fax: 707-545-1595
Anthony K. Boyce, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 707-571-4000
Richard L. Holve, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 707-571-4000
Leo Arthur Smith, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 Doyle Park Dr, Suite G-04, Santa Rosa, CA 95405 Phone: 707-303-8360 Fax: 707-303-8361

Marie Mulligan, MD - Medicare Family Medicine in Santa Rosa, CA