| Bruce Mullen, MD | |
|
755 N Roop St, Suite 112, Carson City, NV 89701-3106 | |
| (775) 883-7938 | |
| (775) 883-0907 |
| Full Name | Bruce Mullen |
|---|---|
| Gender | Male |
| Speciality | Physical Medicine And Rehabilitation |
| Experience | 40 Years |
| Location | 755 N Roop St, Carson City, Nevada |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083781702 | NPI | - | NPPES |
| 002013034 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 5880 (Nevada) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Banner Churchill Community Hospital | Fallon, NV | Hospital |
| Carson Tahoe Regional Medical Center | Carson city, NV | Hospital |
| Carson Valley Medical Center | Gardnerville, NV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bruce E Mullen A Professional Corporation | 6002717766 | 4 |
| Entity Name | Bruce E Mullen A Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750331013 PECOS PAC ID: 6002717766 Enrollment ID: O20040115000896 |
| Entity Name | Procare Pain And Spine, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023601085 PECOS PAC ID: 9234546409 Enrollment ID: O20210406001332 |
| Mailing Address | Practice Location Address |
|---|---|
| Bruce Mullen, MD 755 N Roop St Ste 112, Carson City, NV 89701-3107 Ph: (775) 883-7938 | Bruce Mullen, MD 755 N Roop St, Suite 112, Carson City, NV 89701-3106 Ph: (775) 883-7938 |
Alfred H Grimes, M.D. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 550 W Washington St, Suite 2, Carson City, NV 89703 Phone: 775-841-7246 | |
Penny Lontz, Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 2874 N Carson St, Carson City, NV 89706 Phone: 907-617-7549 | |
Megan Kathleen Murphy, PT Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 3050 N Ormsby Blvd, Carson City, NV 89703 Phone: 775-841-4646 | |
Caroline Tracy Muscari, MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 2874 N Carson St, Suite 230, Carson City, NV 89706 Phone: 775-885-8133 Fax: 775-885-8183 | |
Gail P Krivan, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 896 W Nye Ln Ste 102, Carson City, NV 89703 Phone: 775-461-3132 Fax: 775-461-3132 | |
Peter N Costa, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 973 Mica Drive, Suite 201, Carson City, NV 89705 Phone: 775-783-6190 Fax: 775-783-6191 |