Parker Mullen, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Jackson, Mississippi. His current practice location is
2500 N State St, Jackson, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(601) 984-6603.
Parker Mullen is licensed to practice in Mississippi (license number 31927) 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 1629501044.
Physician's Profile
Full Name | Parker Mullen |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 2500 N State St, Jackson, Mississippi |
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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: 1629501044
- Provider Enumeration Date: 04/04/2017
- Last Update Date: 07/24/2023
Medicare PECOS Information:
- PECOS PAC ID: 5991052441
- Enrollment ID: I20180716002033
Medical Identifiers
Medical identifiers for Parker Mullen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629501044 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | 37720 (Alabama) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | 31927 (Mississippi) | 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. Parker 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 |
Parker Mullen, MD 2500 N State St, Jackson, MS 39216-4500 Ph: (601) 984-6603 | Parker Mullen, MD 2500 N State St, Jackson, MS 39216-4500 Ph: (601) 984-6603 |
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