Mark Mcmullen, MD | |
6201 N Suncoast Blvd, Crystal River, FL 34428-6712 | |
(352) 621-3100 | |
(352) 621-3121 |
Full Name | Mark Mcmullen |
---|---|
Gender | Male |
Speciality | Pathology |
Experience | 39 Years |
Location | 6201 N Suncoast Blvd, Crystal River, Florida |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740203389 | NPI | - | NPPES |
378304900 | Medicaid | FL | |
27507 | Other | FL | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | ME49726 (Florida) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Patriot Podiatry Pllc | 5799906996 | 4 |
Carl Salvati, Dpm, Llc | 8325343437 | 5 |
Entity Name | Tamarac Pathology Group Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427019108 PECOS PAC ID: 3779529763 Enrollment ID: O20050629001109 |
Entity Name | Patriot Podiatry Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801299870 PECOS PAC ID: 5799906996 Enrollment ID: O20141030002348 |
Entity Name | Carl Salvati Dpm Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780040568 PECOS PAC ID: 8325343437 Enrollment ID: O20160229000572 |
Mailing Address | Practice Location Address |
---|---|
Mark Mcmullen, MD Po Box 2030, Homosassa Springs, FL 34447-2030 Ph: (352) 621-3100 | Mark Mcmullen, MD 6201 N Suncoast Blvd, Crystal River, FL 34428-6712 Ph: (352) 621-3100 |
Tonialatoya Wallace-eley, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 6201 N Suncoast Blvd, Crystal River, FL 34428 Phone: 352-795-6560 Fax: 770-776-5966 | |
Fernando A Esclopis, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 6201 N Suncoast Blvd, Crystal River, FL 34428 Phone: 352-795-8372 | |
Dr. Jon P. Frankel, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 6201 N Suncoast Blvd, Crystal River, FL 34428 Phone: 352-795-8379 Fax: 352-795-8401 | |
Marcelino L Alvarez, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 6201 N Suncoast Blvd, Department Of Pathology, Crystal River, FL 34428 Phone: 352-795-8372 | |
Joana A Faber, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 6201 N Suncoast Blvd, Seven Rivers Med Center - Pathology Dept, Crystal River, FL 34428 Phone: 352-795-8372 |