Peter Michael Mullins, is a medicare enrolled "Pain Medicine - Pain Medicine" physician in Vancouver, Washington. His current practice location is
2529 Ne 139th St, Vancouver, Washington. You can reach out to his office (for appointments etc.) via phone at
(360) 882-2778.
Peter Michael Mullins is licensed to practice in Washington (license number MD61384668) 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 1750879466.
Physician's Profile
| Full Name | Peter Michael Mullins |
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| Gender | Male |
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| Speciality | Pain Medicine - Pain Medicine |
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| Location | 2529 Ne 139th St, Vancouver, Washington |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1750879466
- Provider Enumeration Date: 04/27/2018
- Last Update Date: 07/12/2023
Medicare PECOS Information:
- PECOS PAC ID: 0042569568
- Enrollment ID: I20230607003588
Medical Identifiers
Medical identifiers for Peter Michael Mullins such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1750879466 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207P00000X | Emergency Medicine | MD61384668 (Washington) | Secondary |
| 208VP0000X | Pain Medicine - Pain Medicine | MD61384668 (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. Peter Michael Mullins allows following entities to bill medicare on his behalf.
| Entity Name | The Vancouver Clinic Inc Ps |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1992759427
PECOS PAC ID: 3173436490
Enrollment ID: O20031111000793 |
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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. Peter Michael Mullins 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 |
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Peter Michael Mullins,
Po Box 4825,
Portland, OR 97208-4825
Ph: (360) 882-2778 | Peter Michael Mullins,
2529 Ne 139th St,
Vancouver, WA 98686-2719
Ph: (360) 882-2778 |
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