Amber Sue Mulally, NP in Portsmouth, VA - Medicare Nurse Practitioner

Amber Sue Mulally, NP is a medicare enrolled "Nurse Practitioner" in Portsmouth, Virginia. Her current practice location is 620 John Paul Jones Cir, Portsmouth, Virginia. You can reach out to her office (for appointments etc.) via phone at (757) 953-4300.

Amber Sue Mulally is licensed to practice in Virginia (license number 0024172373) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1417341355.

Contact Information

	Amber Sue Mulally, NP
	620 John Paul Jones Cir, Portsmouth, VA 23708-2111
	(757) 953-4300
	Not Available

Map and Direction

Provider's Profile

Full Name	Amber Sue Mulally
Gender	Female
Speciality	Nurse Practitioner
Location	620 John Paul Jones Cir, Portsmouth, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417341355
Provider Enumeration Date: 03/27/2015
Last Update Date: 05/27/2020

Medicare PECOS Information:

PECOS PAC ID: 8527370758
Enrollment ID: I20231116000107

Medical Identifiers

Medical identifiers for Amber Sue Mulally such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417341355	NPI	-	NPPES
0024172373	Other	VA	LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	0024172373 (Virginia)	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. Amber Sue Mulally allows following entities to bill medicare on her behalf.

Entity Name	Montrose Memorial Hospital Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285803635 PECOS PAC ID: 1658272992 Enrollment ID: O20040119000579

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. Amber Sue Mulally 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
Amber Sue Mulally, NP 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 Ph: (757) 953-4300	Amber Sue Mulally, NP 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 Ph: (757) 953-4300

Reviews and Comments

Nurse Practitioner Nurses in Portsmouth, VA

Mr. John F Lyons, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-445-9187 Fax: 757-445-5443
Flordeliza Ablao-chanthavichith, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3235 Academy Ave, Suite 305, Portsmouth, VA 23703 Phone: 757-686-9300 Fax: 757-686-1514
Mrs. Keva Denise Hoyt, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4106 Portsmouth Blvd, Portsmouth, VA 23701 Phone: 757-393-1136 Fax: 757-698-2499
Jordan Cox, AGACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3636 High St, Portsmouth, VA 23707 Phone: 757-398-2200
Mr. Wilber C. Delorme, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 620 John Paul Jones Cir, Naval Medical Cent Portsmout Dermatology Clinic, Portsmouth, VA 23708 Phone: 757-953-0311
Heather Weaver Nelson, FNP-C, WHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-953-8351
Jennifer Pruhs, WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-477-2875 Fax: 757-953-9035

Amber Sue Mulally, NP - Medicare Nurse Practitioner in Portsmouth, VA