Amy Pavlovna Mullins, CRNA in Stanford, CA - Medicare Nurse Anesthetist, Certified Registered

Amy Pavlovna Mullins, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Stanford, California. Her current practice location is 300 Pasteur Dr, Stanford, California. You can reach out to her office (for appointments etc.) via phone at (650) 723-4000.

Amy Pavlovna Mullins is licensed to practice in California (license number 95001054) 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 1538622238.

Contact Information

	Amy Pavlovna Mullins, CRNA
	300 Pasteur Dr, Stanford, CA 94305-2200
	(650) 723-4000
	Not Available

Map and Direction

Provider's Profile

Full Name	Amy Pavlovna Mullins
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	300 Pasteur Dr, Stanford, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1538622238
Provider Enumeration Date: 04/09/2019
Last Update Date: 07/23/2021

Medicare PECOS Information:

PECOS PAC ID: 4688906498
Enrollment ID: I20191029000271

Medical Identifiers

Medical identifiers for Amy Pavlovna Mullins such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538622238	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	95001054 (California)	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. Amy Pavlovna Mullins allows following entities to bill medicare on her behalf.

Entity Name	Regents Of The Univ Of Ca
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013906973 PECOS PAC ID: 3375456619 Enrollment ID: O20031111000892

Entity Name	Stanford Health Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437292927 PECOS PAC ID: 6709797491 Enrollment ID: O20031124000348

Entity Name	Lpch Medical Group Div Of Lucile
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417907940 PECOS PAC ID: 0840298543 Enrollment ID: O20061113000232

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. Amy Pavlovna 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
Amy Pavlovna Mullins, CRNA 300 Pasteur Dr, Stanford, CA 94305-2200 Ph: (650) 723-4000	Amy Pavlovna Mullins, CRNA 300 Pasteur Dr, Stanford, CA 94305-2200 Ph: (650) 723-4000

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Stanford, CA

Kevin Matoke Ogutu, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000
Kana Watanabe, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-498-3333
Ray Roazol, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000
Kristy Autumn Nathan, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000
Kevin Lok, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000
Christina Quinn, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000
Miss Geraldine Flanagan Diskin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Dr Rm H3580, Stanford, CA 94305 Phone: 650-723-6412

Amy Pavlovna Mullins, CRNA - Medicare Nurse Anesthetist, Certified Registered in Stanford, CA