Kalie Irene Mullen, CPNP in Trophy Club, TX - Medicare Nurse Practitioner

Kalie Irene Mullen, CPNP is a medicare enrolled "Nurse Practitioner - Primary Care" in Trophy Club, Texas. Her current practice location is 2300 Sh-114 Ste. 300, Trophy Club, Texas. You can reach out to her office (for appointments etc.) via phone at (817) 347-8100.

Kalie Irene Mullen is licensed to practice in Texas (license number AP142441) 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 1730746058.

Contact Information

	Kalie Irene Mullen, CPNP
	2300 Sh-114 Ste. 300, Trophy Club, TX 76262
	(817) 347-8100
	(817) 349-8099

Map and Direction

Provider's Profile

Full Name	Kalie Irene Mullen
Gender	Female
Speciality	Nurse Practitioner - Primary Care
Location	2300 Sh-114 Ste. 300, Trophy Club, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1730746058
Provider Enumeration Date: 05/22/2019
Last Update Date: 12/14/2023

Medicare PECOS Information:

PECOS PAC ID: 2264825082
Enrollment ID: I20220131000822

Medical Identifiers

Medical identifiers for Kalie Irene Mullen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730746058	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	AP142441 (Texas)	Primary

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. Kalie Irene Mullen allows following entities to bill medicare on her behalf.

Entity Name	Cook Childrens Physician Network
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750369203 PECOS PAC ID: 7719884584 Enrollment ID: O20040128000800

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. Kalie Irene Mullen 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
Kalie Irene Mullen, CPNP Po Box 733784, Dallas, TX 75373-3784 Ph: (682) 885-6483	Kalie Irene Mullen, CPNP 2300 Sh-114 Ste. 300, Trophy Club, TX 76262 Ph: (817) 347-8100

Reviews and Comments

Nurse Practitioner Nurses in Trophy Club, TX

Jacquelyn Rain Kelly, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2222 Glasgow Dr, Trophy Club, TX 76262 Phone: 941-321-0439
Jennifer Gerard, FNP-C, IBCLC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2219 Greenan Dr, Trophy Club, TX 76262 Phone: 000-000-0000 Fax: 769-287-0219
Consuela Denise Harris, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2800 East Texas Highway 114, Ste 350, Trophy Club, TX 76262 Phone: 817-674-7983
Andrea Gaye Landon, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 105 Fresh Meadow Dr, Trophy Club, TX 76262 Phone: 817-907-6553

Kalie Irene Mullen, CPNP - Medicare Nurse Practitioner in Trophy Club, TX