Marie Mulford, in Roanoke, VA - Medicare Nurse Practitioner

Marie Mulford, is a medicare enrolled "Nurse Practitioner - Family" in Roanoke, Virginia. Her current practice location is 5330 Peters Creek Rd, Roanoke, Virginia. You can reach out to her office (for appointments etc.) via phone at (540) 366-0927.

Marie Mulford is licensed to practice in Virginia (license number 0024186807) 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 1295412161.

Contact Information

	Marie Mulford,
	5330 Peters Creek Rd, Roanoke, VA 24019-3853
	(540) 366-0927
	Not Available

Map and Direction

Provider's Profile

Full Name	Marie Mulford
Gender	Female
Speciality	Nurse Practitioner - Family
Location	5330 Peters Creek Rd, Roanoke, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1295412161
Provider Enumeration Date: 06/30/2023
Last Update Date: 06/30/2023

Medicare PECOS Information:

PECOS PAC ID: 6103269972
Enrollment ID: I20240208001870

Medical Identifiers

Medical identifiers for Marie Mulford such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295412161	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	0024186807 (Virginia)	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. Marie Mulford allows following entities to bill medicare on her behalf.

Entity Name	Agenacare Urgent Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144947508 PECOS PAC ID: 5890158489 Enrollment ID: O20230830000917

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. Marie Mulford 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
Marie Mulford, 5330 Peters Creek Rd, Roanoke, VA 24019-3853 Ph: (540) 366-0927	Marie Mulford, 5330 Peters Creek Rd, Roanoke, VA 24019-3853 Ph: (540) 366-0927

Reviews and Comments

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Marie Mulford, - Medicare Nurse Practitioner in Roanoke, VA