Dr Mary Mullen, MD in Dayton, OH - Medicare Hospitalist

Dr Mary Mullen, MD is a medicare enrolled "Internal Medicine" physician in Dayton, Ohio. She went to Indiana University School Of Medicine and graduated in 2015 and has 11 years of diverse experience with area of expertise as Hospitalist. She is a member of the group practice Kettering Independent Medical Group Inc and her current practice location is 405 W Grand Ave, Dayton, Ohio. You can reach out to her office (for appointments etc.) via phone at (937) 723-3276.

Dr Mary Mullen is licensed to practice in Ohio (license number 35.146965) 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 1780079186.

Contact Information

	Dr Mary Mullen, MD
	405 W Grand Ave, Dayton, OH 45405-7538
	(937) 723-3276
	(937) 723-3277

Map and Direction

Physician's Profile

Full Name	Dr Mary Mullen
Gender	Female
Speciality	Hospitalist
Experience	11 Years
Location	405 W Grand Ave, Dayton, Ohio
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Mary Mullen attended and graduated from Indiana University School Of Medicine in 2015

NPI Data:

NPI Number: 1780079186
Provider Enumeration Date: 04/02/2015
Last Update Date: 06/29/2026

Medicare PECOS Information:

PECOS PAC ID: 5193030724
Enrollment ID: I20230524000675

Medical Identifiers

Medical identifiers for Dr Mary Mullen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780079186	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	35.146965 (Ohio)	Primary
207R00000X	Internal Medicine	52306 (Kentucky)	Secondary
208M00000X	Hospitalist	35.146965 (Ohio)	Secondary
208000000X	Pediatrics	52306 (Kentucky)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Grandview And Southview Hospitals	Dayton, OH	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Kettering Independent Medical Group Inc	3173710936	689

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 Mary Mullen allows following entities to bill medicare on her behalf.

Entity Name	Kettering Independent Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629387865 PECOS PAC ID: 3173710936 Enrollment ID: O20101207000425

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 Mary Mullen 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
Dr Mary Mullen, MD 2002 Oakshade Ct, Crestwood, KY 40014-2000 Ph: (765) 586-0868	Dr Mary Mullen, MD 405 W Grand Ave, Dayton, OH 45405-7538 Ph: (937) 723-3276

Reviews and Comments

Internal Medicine Doctors in Dayton, OH

Ratnam A Oza, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1100 S Main St, Ste. 203, Dayton, OH 45409 Phone: 937-222-0603 Fax: 937-222-7122
Dr. Mohamed Elmouelhi, MD, PHD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 4100 W.third St., Dayton Vamc (11c), Dayton, OH 45428 Phone: 937-268-6511
Freesia Dhingra, M.D Internal Medicine Medicare: Medicare Enrolled Practice Location: 4100 W. Third St., Dayton, OH 45428 Phone: 937-268-6511
James P Graham, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1520 S Main St, # 2, Dayton, OH 45409 Phone: 937-461-5815 Fax: 937-461-2896
Ugochukwu Nwokoro, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1735 Big Hill Rd, Dayton, OH 45439 Phone: 937-224-4325 Fax: 937-224-4327
Dr. Howard M Gross, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 8881 N Main St, Dayton, OH 45415 Phone: 937-293-1622 Fax: 937-245-6308
Dr. Mark D Romer, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3120 Governors Place Blvd, Dayton, OH 45409 Phone: 937-293-1622 Fax: 937-245-6308

Dr Mary Mullen, MD - Medicare Hospitalist in Dayton, OH