Matthew Mullen, NURSE PRACTITIONER in South Lake Tahoe, CA

Matthew Mullen, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Family" in South Lake Tahoe, California. His current practice location is 2201 South Ave, South Lake Tahoe, California. You can reach out to his office (for appointments etc.) via phone at (530) 543-5623.

Matthew Mullen is licensed to practice in California (license number 95017939) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1780358929.

Contact Information

	Matthew Mullen, NURSE PRACTITIONER
	2201 South Ave, South Lake Tahoe, CA 96150-7025
	(530) 543-5623
	Not Available

Map and Direction

Provider's Profile

Full Name	Matthew Mullen
Gender	Male
Speciality
Experience	Years
Location	2201 South Ave, South Lake Tahoe, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Matthew Mullen attended and graduated from in

NPI Data:

NPI Number: 1780358929
Provider Enumeration Date: 08/02/2021
Last Update Date: 08/02/2021

Medicare PECOS Information:

PECOS PAC ID:
Enrollment ID:

Medical Identifiers

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

Identifier	Type	State	Issuer
1780358929	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95017939 (California)	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. Matthew 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
Matthew Mullen, NURSE PRACTITIONER 1750 Arrowhead Ave, South Lake Tahoe, CA 96150-5275 Ph: (207) 409-5086	Matthew Mullen, NURSE PRACTITIONER 2201 South Ave, South Lake Tahoe, CA 96150-7025 Ph: (530) 543-5623

Reviews and Comments

Nurse Practitioner Nurses in South Lake Tahoe, CA

Amy Pittlick Smith, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2170 South Ave, South Lake Tahoe, CA 96150 Phone: 530-539-6620 Fax: 530-539-6617
Christine Jo Cifelli, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1090 3rd St, South Lake Tahoe, CA 96150 Phone: 530-543-5660 Fax: 530-542-1619
Molly Dowd, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2170 South Ave, South Lake Tahoe, CA 96150 Phone: 530-541-3420
Ms. Patience Wenck, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1154 Emerald Bay Rd, South Lake Tahoe, CA 96150 Phone: 530-542-4961 Fax: 530-542-4964
Candice Lauren Raynor, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2170 South Ave, South Lake Tahoe, CA 96150 Phone: 530-543-5497 Fax: 530-541-8683
Anna Marie Petersen, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2201 South Ave, South Lake Tahoe, CA 96150 Phone: 530-543-5623
John Tyler Eichenberger, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2074 Lake Tahoe Blvd Ste 5, South Lake Tahoe, CA 96150 Phone: 925-822-4292

Matthew Mullen, NURSE PRACTITIONER - Medicare in South Lake Tahoe, CA