Jennifer Mullis, CNP - Medicare Nurse Practitioner in Detroit, MI

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Jennifer Mullis, CNP is a medicare enrolled "Nurse Practitioner - Pediatrics" in Detroit, Michigan. Her current practice location is 3901 Beaubien, Children's Hospital Of Mi, Detroit, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 966-8999.

Jennifer Mullis is licensed to practice in Michigan (license number 4704223705) 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 1902925720.

Contact Information

Jennifer Mullis, CNP
3901 Beaubien, Children's Hospital Of Mi,
Detroit, MI 48201-2119
(313) 966-8999
(313) 966-0665

Map and Direction




Provider's Profile

Full NameJennifer Mullis
GenderFemale
SpecialityNurse Practitioner - Pediatrics
Location3901 Beaubien, Detroit, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1902925720
  • Provider Enumeration Date: 03/29/2007
  • Last Update Date: 10/10/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7012190036
  • Enrollment ID: I20110328000876

Medical Identifiers

Medical identifiers for Jennifer Mullis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902925720NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0200XNurse Practitioner - Pediatrics 4704223705 (Michigan)Primary
363L00000XNurse Practitioner 4704223705 (Michigan)Secondary

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. Jennifer Mullis allows following entities to bill medicare on her behalf.
Entity NameBeaumont Medical Group Hospital Based Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427567858
PECOS PAC ID: 3072875889
Enrollment ID: O20180314001796

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. Jennifer Mullis 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 AddressPractice Location Address
Jennifer Mullis, CNP
4201 St. Antoine Uhc 5d, University Pediatricians,
Detroit, MI 48201

Ph: (313) 966-5051		Jennifer Mullis, CNP
3901 Beaubien, Children's Hospital Of Mi,
Detroit, MI 48201-2119

Ph: (313) 966-8999

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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