Mickey Mason Muller, DNP in Wyoming, MN - Medicare Nurse Practitioner

Mickey Mason Muller, DNP is a medicare enrolled "Nurse Practitioner - Family" in Wyoming, Minnesota. His current practice location is 5200 Fairview Blvd, Wyoming, Minnesota. You can reach out to his office (for appointments etc.) via phone at (651) 982-7300.

Mickey Mason Muller is licensed to practice in Minnesota (license number 9597) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1093431918.

Contact Information

	Mickey Mason Muller, DNP
	5200 Fairview Blvd, Wyoming, MN 55092-8013
	(651) 982-7300
	Not Available

Map and Direction

Provider's Profile

Full Name	Mickey Mason Muller
Gender	Male
Speciality	Nurse Practitioner - Family
Location	5200 Fairview Blvd, Wyoming, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093431918
Provider Enumeration Date: 10/12/2022
Last Update Date: 10/12/2022

Medicare PECOS Information:

PECOS PAC ID: 4385004365
Enrollment ID: I20230721003211

Medical Identifiers

Medical identifiers for Mickey Mason Muller such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093431918	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	9597 (Minnesota)	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. Mickey Mason Muller allows following entities to bill medicare on his behalf.

Entity Name	Fairview Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461

Entity Name	Fairview Express Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548

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. Mickey Mason Muller 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
Mickey Mason Muller, DNP 415 Dairyland Ave, Milltown, WI 54858-9017 Ph: (715) 553-1285	Mickey Mason Muller, DNP 5200 Fairview Blvd, Wyoming, MN 55092-8013 Ph: (651) 982-7300

Reviews and Comments

Nurse Practitioner Nurses in Wyoming, MN

Molly Levy, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5200 Fairview Blvd, Wyoming, MN 55092 Phone: 651-982-7600
Antonette Trapp, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5200 Fairview Blvd, Wyoming, MN 55092 Phone: 651-982-7000
Jakiann Marie Mork, ANP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5200 Fairview Blvd, Wyoming, MN 55092 Phone: 651-982-7893
Nancy Middlestead, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5200 Fairview Blvd, Wyoming, MN 55092 Phone: 651-982-7000
Megan Ann Merrill, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5200 Fairview Blvd, Wyoming, MN 55092 Phone: 651-982-7000
Suzanne S Rusk, PNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5200 Fairview Boulevard, Fairview Lakes Pediatrics, Wyoming, MN 55092 Phone: 651-682-7340 Fax: 651-982-7349

Mickey Mason Muller, DNP - Medicare Nurse Practitioner in Wyoming, MN