Charlie Mullins, is a medicare enrolled "Family Medicine" in Hyden, Kentucky. He graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Community Medical Associates Inc, Community Medical Associates Inc and his current practice location is
96 Hwy 80, Hyden, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(606) 672-4878.
Charlie Mullins is licensed to practice in Kentucky (license number 3012056) 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 1689173585.
Provider's Profile
| Full Name | Charlie Mullins |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 7 Years |
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| Location | 96 Hwy 80, Hyden, Kentucky |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Charlie Mullins graduated from nursing school in 2017
NPI Data:
- NPI Number: 1689173585
- Provider Enumeration Date: 02/06/2018
- Last Update Date: 04/03/2024
Medicare PECOS Information:
- PECOS PAC ID: 2466714555
- Enrollment ID: I20180330000654
Medical Identifiers
Medical identifiers for Charlie Mullins such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1689173585 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 71013692A (Indiana) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 3012056 (Kentucky) | Secondary |
| 207Q00000X | Family Medicine | 3012056 (Kentucky) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Community Medical Associates Inc | 7012811284 | 1179 |
| Community Medical Associates Inc | 7012811284 | 1179 |
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. Charlie Mullins allows following entities to bill medicare on his behalf.
| Entity Name | Community Medical Associates Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1588614994
PECOS PAC ID: 7012811284
Enrollment ID: O20031120000656 |
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| Entity Name | Kiosk Medicine Kentucky Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1205885035
PECOS PAC ID: 6002887510
Enrollment ID: O20040805001127 |
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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. Charlie 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 |
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Charlie Mullins,
Po Box 776351,
Chicago, IL 60677-6351
Ph: (502) 588-9490 | Charlie Mullins,
96 Hwy 80,
Hyden, KY 41749
Ph: (606) 672-4878 |
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