Mallory Paige Mullikin, NP in Petaluma, CA - Medicare Nurse Practitioner

Mallory Paige Mullikin, NP is a medicare enrolled "Nurse Practitioner - Family" in Petaluma, California. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Permanente Medical Group Inc and her current practice location is 3900 Lakeville Hwy, Petaluma, California. You can reach out to her office (for appointments etc.) via phone at (707) 765-3900.

Mallory Paige Mullikin is licensed to practice in California (license number 95008697) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1235620592.

Contact Information

	Mallory Paige Mullikin, NP
	3900 Lakeville Hwy, Petaluma, CA 94954-5698
	(707) 765-3900
	Not Available

Map and Direction

Provider's Profile

Full Name	Mallory Paige Mullikin
Gender	Female
Speciality	Nurse Practitioner
Experience	7 Years
Location	3900 Lakeville Hwy, Petaluma, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mallory Paige Mullikin graduated from nursing school in 2017

NPI Data:

NPI Number: 1235620592
Provider Enumeration Date: 05/22/2018
Last Update Date: 09/21/2022

Medicare PECOS Information:

PECOS PAC ID: 1557618808
Enrollment ID: I20180718002358

Medical Identifiers

Medical identifiers for Mallory Paige Mullikin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235620592	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95008697 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Permanente Medical Group Inc	8921910225	8376

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. Mallory Paige Mullikin allows following entities to bill medicare on her behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

Entity Name	Providence Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346

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. Mallory Paige Mullikin 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
Mallory Paige Mullikin, NP 3900 Lakeville Hwy, Petaluma, CA 94954-5698 Ph: (707) 765-3900	Mallory Paige Mullikin, NP 3900 Lakeville Hwy, Petaluma, CA 94954-5698 Ph: (707) 765-3900

Reviews and Comments

Nurse Practitioner Nurses in Petaluma, CA

Ms. Barbara L. Schoen, FNP/PA-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 599 Tomales Rd., Petaluma, CA 94952 Phone: 707-765-7205
Jessica Flinders, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 104 Lynch Creek Way, Suite 10, Petaluma, CA 94954 Phone: 707-782-9123 Fax: 707-782-9622
Sherin Ann Chakkalakel, DNP, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 141 Lynch Creek Way, Petaluma, CA 94954 Phone: 707-763-0802
Dahae Hwang, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1179 N Mcdowell Blvd, Petaluma, CA 94954 Phone: 707-559-7500
Gisselle E Suazo, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1179 N Mcdowell Blvd, Petaluma, CA 94954 Phone: 707-559-7617 Fax: 707-559-7620
Andrew K Chinnock, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 N Mcdowell Blvd, Petaluma, CA 94954 Phone: 707-776-8066
Stephanie M Treece, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1179 N Mcdowell Blvd, Petaluma, CA 94954 Phone: 707-559-7500 Fax: 707-559-7620

Mallory Paige Mullikin, NP - Medicare Nurse Practitioner in Petaluma, CA