Caleb Benjamin Mulholland, is a medicare enrolled "Physician Assistant" in Greenville, Illinois. His current practice location is
1000 Red Ball Trl, Greenville, Illinois. You can reach out to his office (for appointments etc.) via phone at
(618) 664-1240.
Caleb Benjamin Mulholland is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1609589506.
Provider's Profile
Full Name | Caleb Benjamin Mulholland |
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Gender | Male |
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Speciality | Physician Assistant |
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Location | 1000 Red Ball Trl, Greenville, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1609589506
- Provider Enumeration Date: 01/05/2023
- Last Update Date: 05/29/2024
Medicare PECOS Information:
- PECOS PAC ID: 6901245356
- Enrollment ID: I20240417003067
Medical Identifiers
Medical identifiers for Caleb Benjamin Mulholland such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1609589506 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | (* (Not Available)) | Primary |
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. Caleb Benjamin Mulholland 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 |
Caleb Benjamin Mulholland, 1000 Red Ball Trl, Greenville, IL 62246-2781 Ph: (618) 664-1240 | Caleb Benjamin Mulholland, 1000 Red Ball Trl, Greenville, IL 62246-2781 Ph: (618) 664-1240 |
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