Dr Kiersten P Mullis, DO is a medicare enrolled "Family Medicine" physician in Yanceville, North Carolina. She went to Edward Via Col Of Osteo Medicine-carolinas Campus and graduated in 2019 and has 6 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Compassion Health Care Inc, Accelerated Care Inc and her current practice location is
439 Us Hwy 158 West, Yanceville, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(336) 694-9331.
Dr Kiersten P Mullis is licensed to practice in North Carolina (license number 2021-02336) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1639632391.
Physician's Profile
| Full Name | Dr Kiersten P Mullis |
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| Gender | Female |
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| Speciality | Internal Medicine |
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| Experience | 6 Years |
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| Location | 439 Us Hwy 158 West, Yanceville, North Carolina |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Kiersten P Mullis attended and graduated from Edward Via Col Of Osteo Medicine-carolinas Campus in 2019
NPI Data:
- NPI Number: 1639632391
- Provider Enumeration Date: 04/10/2019
- Last Update Date: 06/15/2022
Medicare PECOS Information:
- PECOS PAC ID: 2860874740
- Enrollment ID: I20220809003168
Medical Identifiers
Medical identifiers for Dr Kiersten P Mullis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1639632391 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 250906 (North Carolina) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | 2021-02336 (North Carolina) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Compassion Health Care Inc | 4082602388 | 10 |
| Accelerated Care Inc | 8921041138 | 32 |
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. Dr Kiersten P Mullis allows following entities to bill medicare on her behalf.
| Entity Name | Compassion Health Care Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1134201387
PECOS PAC ID: 4082602388
Enrollment ID: O20040626000325 |
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| Entity Name | Moses Cone Physician Services, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1093953127
PECOS PAC ID: 4284782210
Enrollment ID: O20090501000202 |
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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. Dr Kiersten P Mullis 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 |
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Dr Kiersten P Mullis, DO
1125 N Church St,
Greensboro, NC 27401-1007
Ph: () - | Dr Kiersten P Mullis, DO
439 Us Hwy 158 West,
Yanceville, NC 27379-1007
Ph: (336) 694-9331 |
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