Kelly Louise Mullen, - Medicare Family Practice in North Manchester, IN

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Kelly Louise Mullen, is a medicare enrolled "Family Medicine" physician in North Manchester, Indiana. She graduated from medical school in 2017 and has 7 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Kosciusko Medical Group Llc and her current practice location is 605 N Walnut St, North Manchester, Indiana. You can reach out to her office (for appointments etc.) via phone at (260) 982-1994.

Kelly Louise Mullen is licensed to practice in Indiana (license number 11019604A) 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 1669992228.

Contact Information

Kelly Louise Mullen,
605 N Walnut St,
North Manchester, IN 46962-1857
(260) 982-1994
(260) 479-2936

Map and Direction




Physician's Profile

Full NameKelly Louise Mullen
GenderFemale
SpecialityFamily Practice
Experience7 Years
Location605 N Walnut St, North Manchester, Indiana
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kelly Louise Mullen graduated from medical school in 2017
  NPI Data:
  • NPI Number: 1669992228
  • Provider Enumeration Date: 06/26/2017
  • Last Update Date: 10/27/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 2769751510
  • Enrollment ID: I20200604002639

Medical Identifiers

Medical identifiers for Kelly Louise Mullen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669992228NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 11019604A (Indiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Home Health Care Solutions LlcAvon, INHome health agency
Kosciusko Community HospitalWarsaw, INHospital
Parkview Wabash Hospital, IncWabash, INHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Kosciusko Medical Group Llc549680995650

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. Kelly Louise Mullen allows following entities to bill medicare on her behalf.
Entity NameKosciusko Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932349594
PECOS PAC ID: 5496809956
Enrollment ID: O20090818000398

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. Kelly Louise 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 AddressPractice Location Address
Kelly Louise Mullen,
6920 Pointe Inverness Way Ste 200,
Fort Wayne, IN 46804-7934

Ph: (260) 479-3513		Kelly Louise Mullen,
605 N Walnut St,
North Manchester, IN 46962-1857

Ph: (260) 982-1994

Reviews and Comments


Family Medicine Doctors in North Manchester, IN

Shelly Prichard, NP
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 605 N Walnut St, North Manchester, IN 46962
Phone: 260-982-1994    
Dr. Joy Elizabeth Struble, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 605 N. Walnut Street, North Manchester, IN 46962
Phone: 260-982-1994    Fax: 260-982-9274
Lori Jill Zimmerman, D.O.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 605 N Walnut Street, North Manchester, IN 46962
Phone: 260-982-1994    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.