Matthew Mullinix, CRNA | |
2100 W Sunset Dr, Riverton, WY 82501-2274 | |
(800) 967-1646 | |
(317) 567-2191 |
Full Name | Matthew Mullinix |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 2100 W Sunset Dr, Riverton, Wyoming |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063457893 | NPI | - | NPPES |
315565 | Other | WY | BCBS |
P00435055 | Other | WY | RAILROAD MEDICARE |
1063457893 | Medicaid | WY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 22560.355 (Wyoming) | Primary |
Entity Name | Public Hospital District No. 2, Klickitat County, Washington |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952483653 PECOS PAC ID: 4981592144 Enrollment ID: O20040309000490 |
Entity Name | Public Hospital District No. 2, Klickitat County, Washington |
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Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1760455687 PECOS PAC ID: 4981592144 Enrollment ID: O20071220000444 |
Mailing Address | Practice Location Address |
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Matthew Mullinix, CRNA Po Box 32103, Billings, MT 59107-2103 Ph: (317) 567-2180 | Matthew Mullinix, CRNA 2100 W Sunset Dr, Riverton, WY 82501-2274 Ph: (800) 967-1646 |
Kari Sack, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 2100 W Sunset Dr, Riverton, WY 82501 Phone: 800-967-1646 | |
Ryan J Wilcox, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2100 W Sunset Dr, Riverton, WY 82501 Phone: 800-967-1646 |