Randall L Mullin, MD is a
Family Medicine physician based in Annawan, Illinois. Randall L Mullin is licensed to practice in Illinois (license number 036048491) and his current practice location is 110 S Depot St, Annawan, Illinois. He can be reached at his office (for appointments etc.) via phone at
(309) 944-5124.
NPI number for Randall L Mullin is 1174501332 and his current mailing address is 110 S Depot St, Annawan, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1174501332.
Physician's Profile
Full Name | Randall L Mullin |
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Gender | Male |
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Speciality | Family Medicine |
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Location | 110 S Depot St, Annawan, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1174501332
- Provider Enumeration Date: 01/06/2006
- Last Update Date: 01/15/2014
Medical Identifiers
Medical identifiers for Randall L Mullin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1174501332 | NPI | - | NPPES |
1174501332 | Medicaid | IL | |
036048491 | Medicaid | IL | |
0360484912 | Medicaid | IL | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 036048491 (Illinois) | 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. Randall L Mullin is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Randall L Mullin, MD 110 S Depot St, Annawan, IL 61234-7768 Ph: (309) 944-5124 | Randall L Mullin, MD 110 S Depot St, Annawan, IL 61234-7768 Ph: (309) 944-5124 |
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