William Mullen, MD | |
555 E Broadway Ave Ste 229, Jackson, WY 83001 | |
(307) 739-7690 | |
(307) 739-4960 |
Full Name | William Mullen |
---|---|
Gender | Male |
Speciality | Cardiovascular Disease (cardiology) |
Experience | 40 Years |
Location | 555 E Broadway Ave Ste 229, Jackson, Wyoming |
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 |
---|---|---|---|
1457362329 | NPI | - | NPPES |
145965100 | Medicaid | WY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0000X | Internal Medicine - Cardiovascular Disease | 11229A (Wyoming) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Johns Medical Center | Jackson, WY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Teton County Hospital District | 4880582295 | 106 |
Entity Name | Teton County Hospital District |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487818605 PECOS PAC ID: 4880582295 Enrollment ID: O20040308000954 |
Mailing Address | Practice Location Address |
---|---|
William Mullen, MD Po Box 428, Jackson, WY 83001-0428 Ph: (307) 739-7690 | William Mullen, MD 555 E Broadway Ave Ste 229, Jackson, WY 83001 Ph: (307) 739-7690 |
Mrs. Blythe Elizabeth Cox, PA C Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 555 E Broadway, Suite 229, Jackson, WY 83001 Phone: 307-732-1039 Fax: 307-732-1041 | |
Michael Abram Tenofsky, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 625 E Broadway Ave, Jackson, WY 83001 Phone: 307-733-3636 Fax: 888-329-5701 | |
Dr. Cynthia L Archer, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 1335 Arena Rd Unit 1, Jackson, WY 83001 Phone: 602-697-7790 Fax: 602-697-7790 | |
Dr. Martha Gene Stearn, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 555 E Broadway Ave Ste 207, Jackson, WY 83001 Phone: 307-733-8002 | |
Mark Matthew Neimat, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 625 E Broadway Ave, Jackson, WY 83001 Phone: 307-733-3636 Fax: 888-329-5701 | |
Anna Bramley Catino, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 555 E Broadway Ave Ste 229, Jackson, WY 83001 Phone: 307-739-7690 Fax: 307-739-4960 |