Kendra Shaneka Mullenix, CRNP in Harrisburg, PA

Kendra Shaneka Mullenix, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Harrisburg, Pennsylvania. Her current practice location is 815 Sir Thomas Ct Ste 200, Harrisburg, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (717) 724-0720.

Kendra Shaneka Mullenix is licensed to practice in Pennsylvania (license number SP025847) 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 1861190001.

Contact Information

	Kendra Shaneka Mullenix, CRNP
	815 Sir Thomas Ct Ste 200, Harrisburg, PA 17109-4839
	(717) 724-0720
	Not Available

Map and Direction

Provider's Profile

Full Name	Kendra Shaneka Mullenix
Gender	Female
Speciality	Nurse Practitioner - Family
Location	815 Sir Thomas Ct Ste 200, Harrisburg, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1861190001
Provider Enumeration Date: 02/17/2023
Last Update Date: 11/06/2023

Medicare PECOS Information:

PECOS PAC ID: 4082088232
Enrollment ID: I20230330000080

Medical Identifiers

Medical identifiers for Kendra Shaneka Mullenix such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861190001	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	SP025847 (Pennsylvania)	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. Kendra Shaneka Mullenix allows following entities to bill medicare on her behalf.

Entity Name	Pinnacle Health Medical Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932143427 PECOS PAC ID: 7618960493 Enrollment ID: O20040407000180

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. Kendra Shaneka Mullenix 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
Kendra Shaneka Mullenix, CRNP 815 Sir Thomas Ct Ste 200, Harrisburg, PA 17109-4839 Ph: () -	Kendra Shaneka Mullenix, CRNP 815 Sir Thomas Ct Ste 200, Harrisburg, PA 17109-4839 Ph: (717) 724-0720

Reviews and Comments

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Irene Nkem, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2192 Versailles Dr, Harrisburg, PA 17112 Phone: 312-401-6646
Kathleen Yesavage, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4300 Londonderry Rd Ste 302, Harrisburg, PA 17109 Phone: 717-724-6780 Fax: 717-724-6781
Janie Cozzoli, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 820 Sir Thomas Ct, Harrisburg, PA 17109 Phone: 717-652-9555 Fax: 717-791-2621

Kendra Shaneka Mullenix, CRNP - Medicare Nurse Practitioner in Harrisburg, PA