Suparna Mullick, MD in Germantown, TN

Suparna Mullick, MD is a medicare enrolled "Dermatology" physician in Germantown, Tennessee. She graduated from medical school in 2002 and has 22 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Mullick Dermatology Pllc and her current practice location is 3036 Centre Oak Way, Germantown, Tennessee. You can reach out to her office (for appointments etc.) via phone at (901) 572-0005.

Suparna Mullick is licensed to practice in Tennessee (license number 49897) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1366547713.

Contact Information

	Suparna Mullick, MD
	3036 Centre Oak Way, Germantown, TN 38138-6302
	(901) 572-0005
	(901) 572-1102

Map and Direction

Physician's Profile

Full Name	Suparna Mullick
Gender	Female
Speciality	Dermatology
Experience	22 Years
Location	3036 Centre Oak Way, Germantown, Tennessee
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Suparna Mullick graduated from medical school in 2002

NPI Data:

NPI Number: 1366547713
Provider Enumeration Date: 09/13/2006
Last Update Date: 07/27/2022

Medicare PECOS Information:

PECOS PAC ID: 6406888932
Enrollment ID: I20130725000846

Medical Identifiers

Medical identifiers for Suparna Mullick such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366547713	NPI	-	NPPES
200382901	Medicaid	MO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	2006013531 (Missouri)	Secondary
207N00000X	Dermatology	49897 (Tennessee)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mullick Dermatology Pllc	3870862386	2

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. Suparna Mullick allows following entities to bill medicare on her behalf.

Entity Name	Levy Dermatology, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508007790 PECOS PAC ID: 9032263538 Enrollment ID: O20090818000680

Entity Name	Mullick Dermatology Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154862217 PECOS PAC ID: 3870862386 Enrollment ID: O20170627000224

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. Suparna Mullick 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
Suparna Mullick, MD Po Box 758, Paris, TN 38242-0758 Ph: (901) 572-0005	Suparna Mullick, MD 3036 Centre Oak Way, Germantown, TN 38138-6302 Ph: (901) 572-0005

Reviews and Comments

Dermatology Doctors in Germantown, TN

Purvisha J Patel, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 7658 Poplar Pike, Germantown, TN 38138 Phone: 901-759-2322 Fax: 901-759-2077
Mr. Adam W Baker, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 2120 Merchants Row, Suite 2, Germantown, TN 38138 Phone: 901-362-7170 Fax: 901-365-9712
Joseph Pietrangelo, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 8000 Wolf River Blvd Ste 100, Germantown, TN 38138 Phone: 901-579-7395 Fax: 901-425-9813
Mrs. Lynn M Foley, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2195 West Street, Germantown, TN 38138 Phone: 901-756-8168 Fax: 901-752-3791
Pamela A Venegas, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 7658 Poplar Pike, Germantown, TN 38138 Phone: 901-759-2322 Fax: 019-759-2077
Dr. Luella Grigg Churchwell, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1335 Cordova Cv, Germantown, TN 38138 Phone: 901-753-2794 Fax: 901-753-8876
Holly Monroe Wright, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 9045 Forest Centre Dr Ste 103, Germantown, TN 38138 Phone: 901-552-3737 Fax: 731-215-0972

Suparna Mullick, MD - Medicare Dermatology in Germantown, TN