| Charles J Mullen, MD | |
|
35 Miles St, Damariscotta, ME 04543-4047 | |
| (207) 563-4342 | |
| Not Available |
| Full Name | Charles J Mullen |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 36 Years |
| Location | 35 Miles St, Damariscotta, Maine |
| 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 |
|---|---|---|---|
| 1205908134 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | ME14932 (Maine) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lincolnhealth | Damariscotta, ME | Hospital |
| Memorial Hospital, The | North conway, NH | Hospital |
| Maine Medical Center | Portland, ME | Hospital |
| St Mary's Regional Medical Center | Lewiston, ME | Hospital |
| Mid Coast Hospital | Brunswick, ME | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Spectrum Healthcare Partners, Pa | 7618871245 | 261 |
| Entity Name | Spectrum Healthcare Partners, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669488011 PECOS PAC ID: 7618871245 Enrollment ID: O20040423000266 |
| Entity Name | Spectrum Healthcare Partners, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669488011 PECOS PAC ID: 7618871245 Enrollment ID: O20040423000305 |
| Entity Name | Spectrum Healthcare Partners, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023619939 PECOS PAC ID: 7618871245 Enrollment ID: O20210126001672 |
| Entity Name | Spectrum Healthcare Partners, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417613456 PECOS PAC ID: 7618871245 Enrollment ID: O20211213000919 |
| Mailing Address | Practice Location Address |
|---|---|
| Charles J Mullen, MD 324 Gannett Dr Ste 200, South Portland, ME 04106-3266 Ph: (207) 482-7800 | Charles J Mullen, MD 35 Miles St, Damariscotta, ME 04543-4047 Ph: (207) 563-4342 |