Mr Charles Newton Mullican, ACNP in Saint Louis, MO

Mr Charles Newton Mullican, ACNP is a medicare enrolled "Nurse Practitioner - Acute Care" in Saint Louis, Missouri. He went to St. Louis College Of Physicians And Surgeons and graduated in 2010 and has 14 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Critical Care Services Pc, Washington University and his current practice location is 400 S Kingshighway Blvd, Dept Emergency Med, Saint Louis, Missouri. You can reach out to his office (for appointments etc.) via phone at (314) 362-9123.

Mr Charles Newton Mullican is licensed to practice in Missouri (license number 2010010952) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1750612669.

Contact Information

	Mr Charles Newton Mullican, ACNP
	400 S Kingshighway Blvd, Dept Emergency Med, Saint Louis, MO 63110-1014
	(314) 362-9123
	(314) 747-3338

Map and Direction

Provider's Profile

Full Name	Mr Charles Newton Mullican
Gender	Male
Speciality	Nurse Practitioner
Experience	14 Years
Location	400 S Kingshighway Blvd, Saint Louis, Missouri
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Charles Newton Mullican attended and graduated from St. Louis College Of Physicians And Surgeons in 2010

NPI Data:

NPI Number: 1750612669
Provider Enumeration Date: 01/18/2010
Last Update Date: 04/25/2024

Medicare PECOS Information:

PECOS PAC ID: 7810020088
Enrollment ID: I20100809000932

Medical Identifiers

Medical identifiers for Mr Charles Newton Mullican such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750612669	NPI	-	NPPES
424152601	Medicaid	MO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	2010010952 (Missouri)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Havasu Regional Medical Center	Lake havasu city, AZ	Hospital
Adventhealth Deland	Deland, FL	Hospital
Texas Health Huguley Hospital Fort Worth South	Burleson, TX	Hospital
Adventhealth Sebring	Sebring, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Critical Care Services Pc	8729992060	39
Washington University	9830008770	2516

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. Mr Charles Newton Mullican allows following entities to bill medicare on his behalf.

Entity Name	Washington University
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104866656 PECOS PAC ID: 9830008770 Enrollment ID: O20040205000494

Entity Name	Critical Care Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942256250 PECOS PAC ID: 8729992060 Enrollment ID: O20040601000414

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. Mr Charles Newton Mullican 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
Mr Charles Newton Mullican, ACNP Po Box 60352, Saint Louis, MO 63160-0352 Ph: (314) 362-9123	Mr Charles Newton Mullican, ACNP 400 S Kingshighway Blvd, Dept Emergency Med, Saint Louis, MO 63110-1014 Ph: (314) 362-9123

Reviews and Comments

Nurse Practitioner Nurses in Saint Louis, MO

Stephanie Lynn Shorey, WHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 621 S New Ballas Rd, Suite 2007b, Saint Louis, MO 63141 Phone: 314-991-5000
Mr. Gary John Gardner, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4251 Forest Park Ave, Saint Louis, MO 63108 Phone: 618-363-9545
Ms. Kim M French, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4921 Parkview Pl, Div Im Hematology, Ste 7b, Saint Louis, MO 63110 Phone: 314-362-7216 Fax: 314-362-8813
Barbara Ann Giese, RN, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 456 N New Ballas Rd, Suite 304, Saint Louis, MO 63141 Phone: 314-567-6868 Fax: 314-567-0578
Mrs. Anna Ouida Barton, WHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9450 Manchester Rd Ste 206, Saint Louis, MO 63119 Phone: 314-725-9300
Mrs. Emily Carol Kemp, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Parkview Pl, Div Im Medical Oncology, Saint Louis, MO 63110 Phone: 800-647-2098 Fax: 314-362-3192
Mrs. Michelle Marie Bloom, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Barnes Jewish Hospital Plz, Dept Anesthesiology, Saint Louis, MO 63110 Phone: 800-862-9980 Fax: 314-362-1185

Mr Charles Newton Mullican, ACNP - Medicare Nurse Practitioner in Saint Louis, MO