Ms Charlene D Mcmullin, NP is a medicare enrolled "Nurse Practitioner - Family" in Clio, Alabama. She went to University Of Alabama School Of Medicine and graduated in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice American Family Care, Inc. and her current practice location is
200 Wallace Drive, Easterling Correctional Facility (wexford Health), Clio, Alabama. You can reach out to her office (for appointments etc.) via phone at
(334) 397-4470.
Ms Charlene D Mcmullin is licensed to practice in Alabama (license number 1-134373) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1063978484.
Provider's Profile
| Full Name | Ms Charlene D Mcmullin |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 6 Years |
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| Location | 200 Wallace Drive, Clio, Alabama |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ms Charlene D Mcmullin attended and graduated from University Of Alabama School Of Medicine in 2018
NPI Data:
- NPI Number: 1063978484
- Provider Enumeration Date: 02/11/2019
- Last Update Date: 02/11/2019
Medicare PECOS Information:
- PECOS PAC ID: 1658766563
- Enrollment ID: I20220310002921
Medical Identifiers
Medical identifiers for Ms Charlene D Mcmullin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1063978484 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 1-134373 (Alabama) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| American Family Care, Inc. | 9739087818 | 182 |
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. Ms Charlene D Mcmullin allows following entities to bill medicare on her behalf.
| Entity Name | American Family Care, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1669429080
PECOS PAC ID: 9739087818
Enrollment ID: O20031229000157 |
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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. Ms Charlene D Mcmullin 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 |
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Ms Charlene D Mcmullin, NP
99 County Road 50,
Tuskegee, AL 36083-5537
Ph: (334) 727-4917 | Ms Charlene D Mcmullin, NP
200 Wallace Drive, Easterling Correctional Facility (wexford Health),
Clio, AL 36017
Ph: (334) 397-4470 |
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