Tara K. Mullen, O.d., P.c. is a medicare enrolled "Optometrist" provider in Madisonville, Tennessee. Their current practice location is
4525 Highway 411, Suite B, Madisonville, Tennessee. You can reach out to their office (for appointments etc.) via phone at
(423) 442-8649.
Tara K. Mullen, O.d., P.c. is licensed to practice in Tennessee (license number TN2011) and it also participates in the medicare program. Tara K. Mullen, O.d., P.c.
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1922204007.
Healthcare Provider's Profile
| Full Name | Tara K. Mullen, O.d., P.c. |
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| Type | Facility |
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| Speciality | Optometrist |
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| Location | 4525 Highway 411, Madisonville, Tennessee |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1922204007
- Provider Enumeration Date: 06/25/2007
- Last Update Date: 07/31/2009
Medicare PECOS Information:
- PECOS PAC ID: 8325931025
- Enrollment ID: O20040205001098
Medical Identifiers
Medical identifiers for Tara K. Mullen, O.d., P.c. such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1922204007 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | TN2011 (Tennessee) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Tara K. Mullen, O.d., P.c. acts as a billing entity for following providers:
| Provider Name | Tara K Mullen |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1023108560
PECOS PAC ID: 6305739004
Enrollment ID: I20040207000343 |
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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. Tara K. Mullen, O.d., P.c. 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 |
|---|
Tara K. Mullen, O.d., P.c.
4525 Highway 411, Suite B,
Madisonville, TN 37354-1536
Ph: (423) 442-8649 | Tara K. Mullen, O.d., P.c.
4525 Highway 411, Suite B,
Madisonville, TN 37354-1536
Ph: (423) 442-8649 |
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