Mayline Vermullen, OTR is a
Early Intervention Provider Agency based in Blackwood, New Jersey. Mayline Vermullen is licensed to practice in * (Not Available) (license number ) and her current practice location is
12 Briar Ln, Blackwood, New Jersey. She can be reached at her office (for appointments etc.) via phone at
(240) 543-3741.
NPI number for Mayline Vermullen is 1114675899 and her current mailing address is 12 Briar Ln, Blackwood, New Jersey. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1114675899.
Healthcare Provider's Profile
| Full Name | Mayline Vermullen |
|---|
| Gender | Female |
|---|
| Speciality | Early Intervention Provider Agency |
|---|
| Location | 12 Briar Ln, Blackwood, New Jersey |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1114675899
- Provider Enumeration Date: 03/12/2022
- Last Update Date: 04/01/2022
Medical Identifiers
Medical identifiers for Mayline Vermullen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114675899 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225XP0200X | Occupational Therapist - Pediatrics | OC014988 (Pennsylvania) | Secondary |
| 252Y00000X | Early Intervention Provider Agency | (* (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. Mayline Vermullen is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mayline Vermullen, OTR
12 Briar Ln,
Blackwood, NJ 08012
Ph: (240) 543-3741 | Mayline Vermullen, OTR
12 Briar Ln,
Blackwood, NJ 08012
Ph: (240) 543-3741 |
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