Elizabeth Mullin, is a medicare enrolled "Physician Assistant" in Bellevue, Idaho. Her current practice location is
621 N Main St, Bellevue, Idaho. You can reach out to her office (for appointments etc.) via phone at
(208) 725-3145.
Elizabeth Mullin is licensed to practice in Idaho (license number PA-2609) 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 1689301152.
Provider's Profile
| Full Name | Elizabeth Mullin |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 621 N Main St, Bellevue, Idaho |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1689301152
- Provider Enumeration Date: 08/04/2022
- Last Update Date: 10/03/2023
Medicare PECOS Information:
- PECOS PAC ID: 6406203934
- Enrollment ID: I20231106001760
Medical Identifiers
Medical identifiers for Elizabeth Mullin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1689301152 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | PA-2609 (Idaho) | 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. Elizabeth Mullin 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 |
|---|
Elizabeth Mullin,
794 Eastland Dr,
Twin Falls, ID 83301-6856
Ph: (208) 734-3312 | Elizabeth Mullin,
621 N Main St,
Bellevue, ID 83313-5093
Ph: (208) 725-3145 |
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