Brian Thomas Mulder, APN in Rockford, IL - Medicare Nurse Practitioner

Brian Thomas Mulder, APN is a medicare enrolled "Nurse Practitioner" in Rockford, Illinois. He graduated from nursing school in 2013 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Orthomidwest Pllc and his current practice location is 5875 E Riverside Blvd, Rockford, Illinois. You can reach out to his office (for appointments etc.) via phone at (815) 398-9491.

Brian Thomas Mulder is licensed to practice in Illinois (license number 209-010871) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1558791459.

Contact Information

	Brian Thomas Mulder, APN
	5875 E Riverside Blvd, Rockford, IL 61114-4937
	(815) 398-9491
	(815) 381-7498

Map and Direction

Provider's Profile

Full Name	Brian Thomas Mulder
Gender	Male
Speciality	Nurse Practitioner
Experience	11 Years
Location	5875 E Riverside Blvd, Rockford, Illinois
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Brian Thomas Mulder graduated from nursing school in 2013

NPI Data:

NPI Number: 1558791459
Provider Enumeration Date: 11/14/2013
Last Update Date: 08/11/2023

Medicare PECOS Information:

PECOS PAC ID: 1052548492
Enrollment ID: I20131216001202

Medical Identifiers

Medical identifiers for Brian Thomas Mulder such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558791459	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	209-010871 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Katherine Shaw Bethea Hospital	Dixon, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Orthomidwest Pllc	0749183713	384

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. Brian Thomas Mulder allows following entities to bill medicare on his behalf.

Entity Name	Orthomidwest Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730136474 PECOS PAC ID: 0749183713 Enrollment ID: O20040128000533

Entity Name	Beloit Health System Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841485984 PECOS PAC ID: 8224947858 Enrollment ID: O20080204000702

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. Brian Thomas Mulder 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
Brian Thomas Mulder, APN Po Box 735263, Chicago, IL 60673-5263 Ph: () -	Brian Thomas Mulder, APN 5875 E Riverside Blvd, Rockford, IL 61114-4937 Ph: (815) 398-9491

Reviews and Comments

Nurse Practitioner Nurses in Rockford, IL

Misty Lynn Dehaven, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1639 N Alpine Rd Ste 260, Rockford, IL 61107 Phone: 815-395-1500 Fax: 815-395-1415
Candice Vicencio, DNP, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4215 Newburg Rd, Rockford, IL 61108 Phone: 815-988-8500 Fax: 815-977-5956
Caryn Ann Ruzic, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1200 W State St, Rockford, IL 61102 Phone: 815-490-1600 Fax: 815-490-1881
Tyler James Rafferty, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5666 E State St, Rockford, IL 61108 Phone: 815-226-2000
Angela Giardono, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5666 E State St, Rockford, IL 61108 Phone: 815-226-2000
Melissa L. Inman, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 461 N Mulford Rd Ste 3, Rockford, IL 61107 Phone: 815-227-9594 Fax: 815-227-9574
Michelle L Bennett, APRN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 3505 N Bell School Rd, Rockford, IL 61114 Phone: 779-696-0300 Fax: 815-639-9433

Brian Thomas Mulder, APN - Medicare Nurse Practitioner in Rockford, IL