Mary Ann Mullane, PT in Jackson, WY - Medicare Physical Therapy Provider

Mary Ann Mullane, PT is a medicare enrolled "Physical Therapist" provider in Jackson, Wyoming. She graduated from medical school in 1994 and has 30 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice Excel Physical Therapy Llc and her current practice location is 1090 S Hwy 89, Jackson, Wyoming. You can reach out to her office (for appointments etc.) via phone at (307) 733-5577.

Mary Ann Mullane is licensed to practice in California (license number 32381) 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 1053986430.

Contact Information

	Mary Ann Mullane, PT
	1090 S Hwy 89, Jackson, WY 83001-8511
	(307) 733-5577
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mary Ann Mullane
Gender	Female
Speciality	Physical Therapy
Experience	30 Years
Location	1090 S Hwy 89, Jackson, Wyoming
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mary Ann Mullane graduated from medical school in 1994

NPI Data:

NPI Number: 1053986430
Provider Enumeration Date: 05/26/2021
Last Update Date: 05/26/2021

Medicare PECOS Information:

PECOS PAC ID: 4880084318
Enrollment ID: I20211124000454

Medical Identifiers

Medical identifiers for Mary Ann Mullane such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053986430	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	32381 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Excel Physical Therapy Llc	0345242178	7

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. Mary Ann Mullane allows following entities to bill medicare on her behalf.

Provider Name	Four Pines Physical Therapy, Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1013090539 PECOS PAC ID: 8224011424 Enrollment ID: O20040609000915

Provider Name	Excel Physical Therapy Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1356414684 PECOS PAC ID: 0345242178 Enrollment ID: O20070208000079

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. Mary Ann Mullane 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
Mary Ann Mullane, PT 707 Fathom Dr Apt 208, San Mateo, CA 94404-1066 Ph: (858) 722-8187	Mary Ann Mullane, PT 1090 S Hwy 89, Jackson, WY 83001-8511 Ph: (307) 733-5577

Reviews and Comments

Physical Therapist in Jackson, WY

Four Pines Physical Therapy Pc Physical Therapist Medicare: Medicare Enrolled Practice Location: 1090 S Hwy 89, Jackson, WY 83001 Phone: 307-733-5577 Fax: 307-733-5505
Benjamin R Moore, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 555 East Broadway, Suite 100, Jackson, WY 83001 Phone: 307-739-7491
Kara T Jordan, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 120 W Pearl Ave, Jackson, WY 83001 Phone: 307-734-9129 Fax: 307-734-1427
Cossette Burnham, DPT, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: Four Pines Physical Therapy, 1090 S Hwy 89, Jackson, WY 83001 Phone: 307-733-5577
Ms. Cassandra Ann Fuller, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5310 South Park Drive, Suite 4, Jackson, WY 83002 Phone: 307-262-6372 Fax: 307-200-6403
Dr. Jacob Wayne Munger, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1090 S Hwy 89, Jackson, WY 83001 Phone: 307-733-5577 Fax: 307-733-5505

Mary Ann Mullane, PT - Medicare Physical Therapist in Jackson, WY