Ashley Marie Mulder, MD in Lake Havasu City, AZ

Ashley Marie Mulder, MD is a medicare enrolled "Family Medicine" physician in Lake Havasu City, Arizona. Her current practice location is 2035 Mesquite Ave, Lake Havasu City, Arizona. You can reach out to her office (for appointments etc.) via phone at (928) 208-4598.

Ashley Marie Mulder is licensed to practice in Arizona (license number 69006) 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 1104455989.

Contact Information

	Ashley Marie Mulder, MD
	2035 Mesquite Ave, Lake Havasu City, AZ 86403-5894
	(928) 208-4598
	(888) 571-6436

Map and Direction

Physician's Profile

Full Name	Ashley Marie Mulder
Gender	Female
Speciality	Family Medicine
Location	2035 Mesquite Ave, Lake Havasu City, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104455989
Provider Enumeration Date: 04/03/2020
Last Update Date: 10/10/2025

Medicare PECOS Information:

PECOS PAC ID: 0749648988
Enrollment ID: I20230621001827

Medical Identifiers

Medical identifiers for Ashley Marie Mulder such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104455989	NPI	-	NPPES
141544	Medicaid	AZ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	69006 (Arizona)	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. Ashley Marie Mulder allows following entities to bill medicare on her behalf.

Entity Name	Lakeside Heart And Vascular Center Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801194352 PECOS PAC ID: 4587832779 Enrollment ID: O20110713000658

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. Ashley Marie Mulder 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
Ashley Marie Mulder, MD Po Box 5798, Scottsdale, AZ 85261-5798 Ph: (928) 315-1510	Ashley Marie Mulder, MD 2035 Mesquite Ave, Lake Havasu City, AZ 86403-5894 Ph: (928) 208-4598

Reviews and Comments

Family Medicine Doctors in Lake Havasu City, AZ

Kristy M Whelan, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2082 Mesquite Ave, Suite 106, Lake Havasu City, AZ 86403 Phone: 928-680-4233 Fax: 928-680-6522
Manu Lonial, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1741 Mesquite Ave # 100, Lake Havasu City, AZ 86403 Phone: 928-782-7972 Fax: 928-329-4522
Kelli M Ward, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2090 Smoketree Ave N, Lake Havasu City, AZ 86403 Phone: 928-854-1800 Fax: 928-854-1847
Michael Stephen Rosen, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2082 Mesquite Ave, Suite A106, Lake Havasu City, AZ 86403 Phone: 928-680-4233 Fax: 928-680-6522
Daniel Itano, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Civic Center Ln, Lake Havasu City, AZ 86403 Phone: 928-855-8185
Marie Annette Ohaver, FNP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1720 Mesquite Ave Ste 100, Lake Havasu City, AZ 86403 Phone: 928-412-8088 Fax: 928-412-8807

Ashley Marie Mulder, MD - Medicare Family Medicine in Lake Havasu City, AZ