Michael R Mcmullin, is a
Physician Assistant based in St Charles, Minnesota. Michael R Mcmullin is licensed to practice in Minnesota (license number 9486) and his current practice location is
403 W 4th St, St Charles, Minnesota. He can be reached at his office (for appointments etc.) via phone at
(507) 932-3810.
NPI number for Michael R Mcmullin is 1518919752 and his current mailing address is 403 W 4th St, St Charles, Minnesota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1518919752.
Provider's Profile
| Full Name | Michael R Mcmullin |
|---|
| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | 403 W 4th St, St Charles, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1518919752
- Provider Enumeration Date: 05/16/2006
- Last Update Date: 06/06/2013
Medical Identifiers
Medical identifiers for Michael R Mcmullin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1518919752 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 9486 (Minnesota) | Primary |
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. Michael R Mcmullin is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Michael R Mcmullin,
403 W 4th St,
St Charles, MN 55972-2127
Ph: (507) 932-3810 | Michael R Mcmullin,
403 W 4th St,
St Charles, MN 55972-2127
Ph: (507) 932-3810 |
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