Mr Robert J Mulloy, ANP, is a medicare enrolled "Nurse Practitioner - Adult Health" in Saint Ann, Missouri. His current practice location is
11063 Saint Francis Ln, Saint Ann, Missouri. You can reach out to his office (for appointments etc.) via phone at
(314) 680-3761.
Mr Robert J Mulloy is licensed to practice in Missouri (license number 2004018905) 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 1528299039.
Provider's Profile
Full Name | Mr Robert J Mulloy |
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Gender | Male |
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Speciality | Nurse Practitioner - Adult Health |
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Location | 11063 Saint Francis Ln, Saint Ann, Missouri |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1528299039
- Provider Enumeration Date: 07/31/2009
- Last Update Date: 01/30/2025
Medicare PECOS Information:
- PECOS PAC ID: 2567509524
- Enrollment ID: I20091023000054
Medical Identifiers
Medical identifiers for Mr Robert J Mulloy such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1528299039 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LA2200X | Nurse Practitioner - Adult Health | 2004018905 (Missouri) | 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. Mr Robert J Mulloy allows following entities to bill medicare on his behalf.
Entity Name | Bridgeton Emergency Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1053660076 PECOS PAC ID: 5193978948 Enrollment ID: O20130104000140 |
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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 Robert J Mulloy 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 Robert J Mulloy, ANP, 11063 Saint Francis Ln, Saint Ann, MO 63074-3333 Ph: (314) 680-3761 | Mr Robert J Mulloy, ANP, 11063 Saint Francis Ln, Saint Ann, MO 63074-3333 Ph: (314) 680-3761 |
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