Mrs Laurel Jill Mullally, NP in Chino, CA - Medicare Nurse Practitioner

Mrs Laurel Jill Mullally, NP is a medicare enrolled "Nurse Practitioner - Family" in Chino, California. Her current practice location is 5130 Riverside Dr, Chino, California. You can reach out to her office (for appointments etc.) via phone at (909) 628-1201.

Mrs Laurel Jill Mullally is licensed to practice in California (license number 410836) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1750500104.

Contact Information

	Mrs Laurel Jill Mullally, NP
	5130 Riverside Dr, Chino, CA 91710-4130
	(909) 628-1201
	(909) 062-8671

Map and Direction

Provider's Profile

Full Name	Mrs Laurel Jill Mullally
Gender	Female
Speciality	Nurse Practitioner - Family
Location	5130 Riverside Dr, Chino, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750500104
Provider Enumeration Date: 04/24/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 7214235845
Enrollment ID: I20160415000883

Medical Identifiers

Medical identifiers for Mrs Laurel Jill Mullally such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750500104	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	410836 (California)	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. Mrs Laurel Jill Mullally 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
Mrs Laurel Jill Mullally, NP 2212 Camino Del Sol, Fullerton, CA 92833-1321 Ph: (909) 628-1201	Mrs Laurel Jill Mullally, NP 5130 Riverside Dr, Chino, CA 91710-4130 Ph: (909) 628-1201

Reviews and Comments

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Mrs Laurel Jill Mullally, NP - Medicare Nurse Practitioner in Chino, CA