| Conor Mullin, MD | |
|
930 Blue Star Hwy, South Haven, MI 49090-7758 | |
| (269) 637-1115 | |
| Not Available |
| Full Name | Conor Mullin |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 12 Years |
| Location | 930 Blue Star Hwy, South Haven, Michigan |
| 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 |
|---|---|---|---|
| 1013321983 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 11017904A (Indiana) | Secondary |
| 207Q00000X | Family Medicine | 4301113611 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mary Free Bed At Home | Grand rapids, MI | Home health agency |
| Metro Health Hospital | Wyoming, MI | Hospital |
| Bronson South Haven Hospital | South haven, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Metropolitan Hospital | 5597651836 | 382 |
| Entity Name | Bronson South Haven Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174749170 PECOS PAC ID: 6204724834 Enrollment ID: O20040305001005 |
| Entity Name | Metropolitan Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811937519 PECOS PAC ID: 5597651836 Enrollment ID: O20040507000012 |
| Mailing Address | Practice Location Address |
|---|---|
| Conor Mullin, MD 714 N Michigan St, South Bend, IN 46601-1035 Ph: () - | Conor Mullin, MD 930 Blue Star Hwy, South Haven, MI 49090-7758 Ph: (269) 637-1115 |
Dr. Arlynne Mildred Eisner, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 955 S Bailey Ave, South Haven, MI 49090 Phone: 269-427-5811 Fax: 269-427-6107 | |
Dr. Gordon R Bleil, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 955 S Bailey Ave, South Haven, MI 49090 Phone: 269-639-2910 Fax: 269-639-2919 | |
Dr. Matthew G Small, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 965 S Bailey Ave, Suite 2-1, South Haven, MI 49090 Phone: 269-639-2772 Fax: 269-639-2770 | |
Dr. Richard John Allen, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 930 Blue Star Hwy, South Haven, MI 49090 Phone: 269-637-1115 Fax: 269-639-1314 | |
Kathy Watt, N.P. Family Medicine Medicare: Medicare Enrolled Practice Location: 930 Blue Star Hwy, South Haven, MI 49090 Phone: 269-637-1115 | |
Dr. David Michael Liscow, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 930 Blue Star Hwy, South Haven, MI 49090 Phone: 269-637-1115 Fax: 269-639-1314 |