Dr Kacy Mullen, PHD in White City, OR - Medicare Clinical Psychologist Provider

Dr Kacy Mullen, PHD is a medicare enrolled "Psychologist" provider in White City, Oregon. She graduated from medical school in 2012 and has 12 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Southern Oregon Wellness Clinic Llc and her current practice location is 8495 Crater Lake Hwy, White City, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 826-2111.

Dr Kacy Mullen is licensed to practice in Oregon (license number 2457) 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 1801224795.

Contact Information

	Dr Kacy Mullen, PHD
	8495 Crater Lake Hwy, White City, OR 97503
	(541) 826-2111
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Kacy Mullen
Gender	Female
Speciality	Clinical Psychologist
Experience	12 Years
Location	8495 Crater Lake Hwy, White City, Oregon
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:

Dr Kacy Mullen graduated from medical school in 2012

NPI Data:

NPI Number: 1801224795
Provider Enumeration Date: 10/31/2013
Last Update Date: 07/13/2018

Medicare PECOS Information:

PECOS PAC ID: 1355567660
Enrollment ID: I20140723000295

Medical Identifiers

Medical identifiers for Dr Kacy Mullen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801224795	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	2457 (Oregon)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southern Oregon Wellness Clinic Llc	5395903124	4

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. Dr Kacy Mullen allows following entities to bill medicare on her behalf.

Entity Name	Integrated Health Services, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396068037 PECOS PAC ID: 7719016468 Enrollment ID: O20100519000152

Entity Name	Southern Oregon Wellness Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538446315 PECOS PAC ID: 5395903124 Enrollment ID: O20120223000945

Entity Name	Rogue Psych Consultants Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447727110 PECOS PAC ID: 1850632415 Enrollment ID: O20190408002460

Entity Name	Southern Oregon Cbt Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306456058 PECOS PAC ID: 1355769050 Enrollment ID: O20200911002305

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. Dr Kacy Mullen 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
Dr Kacy Mullen, PHD 17650 Highway 238, Grants Pass, OR 97527-8616 Ph: (972) 623-8470	Dr Kacy Mullen, PHD 8495 Crater Lake Hwy, White City, OR 97503 Ph: (541) 826-2111

Reviews and Comments

Psychologist in White City, OR

Anne Marie Fischer Guzman, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8495 Crater Lake Hwy, White City, OR 97503 Phone: 541-826-2111
Dr. Erin Kathleen Anderson Fortier, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8495 Crater Lake Hwy, White City, OR 97503 Phone: 541-826-2111
Dr. Terry J Brenner, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8495 Crater Lake Hwy, White City, OR 97503 Phone: 541-826-2111
Dr. Hannah Elizabeth Casares, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8495 Crater Lake Hwy, White City, OR 97503 Phone: 541-826-2111
Dr. Je T'aime Hood, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8495 Crater Lake Hwy, White City, OR 97503 Phone: 541-826-2111
Dr. Benjamin Lee Giesbrecht, PSY.D. Psychologist Medicare: Medicare Enrolled Practice Location: 8495 Crater Lake Hwy, White City, OR 97503 Phone: 541-826-2111
Dr. Matthew Thomas Blakeley, PSY.D. Psychologist Medicare: Medicare Enrolled Practice Location: 8495 Crater Lake Hwy, White City, OR 97503 Phone: 541-826-2111

Dr Kacy Mullen, PHD - Medicare Psychologist in White City, OR