Laura S Mullins, NP is a medicare enrolled "Nurse Practitioner - Pediatrics" in Hickory Corners, Michigan. Her current practice location is
9072 N 42nd St, Hickory Corners, Michigan. You can reach out to her office (for appointments etc.) via phone at
(269) 373-7488.
Laura S Mullins is licensed to practice in Michigan (license number 4704084579) 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 1548239767.
Provider's Profile
| Full Name | Laura S Mullins |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Pediatrics |
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| Location | 9072 N 42nd St, Hickory Corners, Michigan |
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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: 1548239767
- Provider Enumeration Date: 03/17/2006
- Last Update Date: 11/22/2019
Medicare PECOS Information:
- PECOS PAC ID: 9335325893
- Enrollment ID: I20110517000733
Medical Identifiers
Medical identifiers for Laura S Mullins such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1548239767 | NPI | - | NPPES |
| 7309236 | Other | | AETNA |
| 1548239767 | Medicaid | MI | |
| 4332789 | Medicaid | MI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LP0200X | Nurse Practitioner - Pediatrics | 4704084579 (Michigan) | 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. Laura S Mullins allows following entities to bill medicare on her behalf.
| Entity Name | West Michigan Cancer Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1447261730
PECOS PAC ID: 8628971199
Enrollment ID: O20040130000961 |
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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. Laura S 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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Laura S Mullins, NP
200 N Park St,
Kalamazoo, MI 49007-3731
Ph: (269) 373-7488 | Laura S Mullins, NP
9072 N 42nd St,
Hickory Corners, MI 49060-9542
Ph: (269) 373-7488 |
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