| Dr Peter J Mulhern, MD | |
|
8550 Ne 138th Ln, Building 400, Suite 101b, Lady Lake, FL 32159-8957 | |
| (352) 751-1036 | |
| (352) 750-4698 |
| Full Name | Dr Peter J Mulhern |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery |
| Location | 8550 Ne 138th Ln, Lady Lake, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417932005 | NPI | - | NPPES |
| 06698867A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 053517 (Georgia) | Primary |
| Entity Name | Omni Healthcare, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134191323 PECOS PAC ID: 5496652380 Enrollment ID: O20031218000059 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Peter J Mulhern, MD Po Box 3130, Ocala, FL 34478-3130 Ph: (352) 751-1036 | Dr Peter J Mulhern, MD 8550 Ne 138th Ln, Building 400, Suite 101b, Lady Lake, FL 32159-8957 Ph: (352) 751-1036 |
Dr. Thomas Hatton Mccoy, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 539 Rolling Acres Rd, Lady Lake, FL 32159 Phone: 352-973-4070 Fax: 352-973-4085 | |
John T Williams Jr., MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 13696 N Us Highway 441, Lady Lake, FL 32159 Phone: 352-775-1221 Fax: 352-915-9028 |