Ty A Mulholland, in Richland Center, WI - Medicare Dietitian, Registered Provider

Ty A Mulholland, is a medicare enrolled "Dietitian, Registered" provider in Richland Center, Wisconsin. Her current practice location is 333 E 2nd St, Richland Center, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (608) 647-6321.

Ty A Mulholland is licensed to practice in Wisconsin (license number 155) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1003967654.

Contact Information

	Ty A Mulholland,
	333 E 2nd St, Richland Center, WI 53581-1914
	(608) 647-6321
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ty A Mulholland
Gender	Female
Speciality	Dietitian, Registered
Location	333 E 2nd St, Richland Center, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003967654
Provider Enumeration Date: 01/12/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 6507960622
Enrollment ID: I20070329000569

Medical Identifiers

Medical identifiers for Ty A Mulholland such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003967654	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	155 (Wisconsin)	Primary

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. Ty A Mulholland allows following entities to bill medicare on her behalf.

Provider Name	Richland Hospital
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1659301273 PECOS PAC ID: 7618861618 Enrollment ID: O20110318000356

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. Ty A Mulholland 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
Ty A Mulholland, 333 E 2nd St, Richland Center, WI 53581-1914 Ph: (608) 647-6321	Ty A Mulholland, 333 E 2nd St, Richland Center, WI 53581-1914 Ph: (608) 647-6321

Reviews and Comments

Dietitian, Registered in Richland Center, WI

Mary Jo Coleman, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 333 E 2nd St, Richland Center, WI 53581 Phone: 608-647-6321
Grace Denman, Dietitian Medicare: Medicare Enrolled Practice Location: 333 E 2nd St, Richland Center, WI 53581 Phone: 608-647-6321
Julie Esser, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 333 E 2nd St, Richland Center, WI 53581 Phone: 608-647-6321

Ty A Mulholland, - Medicare Dietitian in Richland Center, WI