Jeremy Mullavey, ARNP is a medicare enrolled "Nurse Practitioner - Critical Care Medicine" physician in Spokane, Washington. He went to University Of Alabama School Of Medicine and graduated in 2024 and has 1 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Providence Health And Services-wa and his current practice location is
62 W 7th Ave Ste 110, Spokane, Washington. You can reach out to his office (for appointments etc.) via phone at
(509) 456-0262.
Jeremy Mullavey is licensed to practice in Washington (license number AP61577243) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1245076553.
Physician's Profile
| Full Name | Jeremy Mullavey |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 1 Years |
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| Location | 62 W 7th Ave Ste 110, Spokane, Washington |
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| Accepts Medicare Assignments | Yes. He 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:
- Jeremy Mullavey attended and graduated from University Of Alabama School Of Medicine in 2024
NPI Data:
- NPI Number: 1245076553
- Provider Enumeration Date: 07/05/2024
- Last Update Date: 07/05/2024
Medicare PECOS Information:
- PECOS PAC ID: 9234676479
- Enrollment ID: I20240805004015
Medical Identifiers
Medical identifiers for Jeremy Mullavey such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1245076553 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207RA0001X | Internal Medicine - Advanced Heart Failure And Transplant Cardiology | AP61577243 (Washington) | Secondary |
| 363LC0200X | Nurse Practitioner - Critical Care Medicine | AP61577243 (Washington) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Providence Health And Services-wa | 7911069703 | 23 |
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. Jeremy Mullavey allows following entities to bill medicare on his behalf.
| Entity Name | Providence Health & Services-wa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1538311287
PECOS PAC ID: 7911069703
Enrollment ID: O20090105000365 |
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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. Jeremy Mullavey 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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Jeremy Mullavey, ARNP
4308 E 41st Ave,
Spokane, WA 99223-1279
Ph: () - | Jeremy Mullavey, ARNP
62 W 7th Ave Ste 110,
Spokane, WA 99204-2321
Ph: (509) 456-0262 |
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