Stevie-marie Ann Mullins, PA-C is a medicare enrolled "Physician Assistant" in Centerville, Utah. Her current practice location is
1222 W Legacy Crossing Blvd Ste 200, Centerville, Utah. You can reach out to her office (for appointments etc.) via phone at
(801) 298-3802.
Stevie-marie Ann Mullins is licensed to practice in * (Not Available) (license number ) 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 1760192868.
Provider's Profile
| Full Name | Stevie-marie Ann Mullins |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 1222 W Legacy Crossing Blvd Ste 200, Centerville, Utah |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1760192868
- Provider Enumeration Date: 11/29/2022
- Last Update Date: 03/22/2024
Medicare PECOS Information:
- PECOS PAC ID: 0840661559
- Enrollment ID: I20230130000906
Medical Identifiers
Medical identifiers for Stevie-marie Ann Mullins such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1760192868 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Secondary |
| 363AS0400X | Physician Assistant - Surgical | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | (* (Not Available)) | 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. Stevie-marie Ann Mullins 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 |
|---|
Stevie-marie Ann Mullins, PA-C
1222 W Legacy Crossing Blvd Ste 200,
Centerville, UT 84014-5560
Ph: (801) 298-3802 | Stevie-marie Ann Mullins, PA-C
1222 W Legacy Crossing Blvd Ste 200,
Centerville, UT 84014-5560
Ph: (801) 298-3802 |
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