John Michael Mcnulty, MD is a
Orthopaedic Surgery physician based in St Maries, Idaho. John Michael Mcnulty is licensed to practice in Idaho (license number M7646) and his current practice location is 229 S 8th St, St Maries Family Medicine, St Maries, Idaho. He can be reached at his office (for appointments etc.) via phone at
(208) 245-2591.
NPI number for John Michael Mcnulty is 1043207418 and his current mailing address is 229 S 8th St, St Maries Family Medicine, St Maries, Idaho. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1043207418.
Physician's Profile
| Full Name | John Michael Mcnulty |
|---|
| Gender | Male |
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| Speciality | Orthopaedic Surgery |
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| Location | 229 S 8th St, St Maries, Idaho |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1043207418
- Provider Enumeration Date: 09/30/2005
- Last Update Date: 03/04/2008
Medical Identifiers
Medical identifiers for John Michael Mcnulty such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1043207418 | NPI | - | NPPES |
| 27805 | Other | ID | BLUE CROSS OF ID |
| 000010000790 | Other | ID | REGENCE BS OF ID |
| 1043207418 | Medicaid | MT | |
| 8343854 | Medicaid | WA | |
| 124834 | Other | WA | DEPT OF LABOR & INDUSTRIE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207X00000X | Orthopaedic Surgery | M7646 (Idaho) | Primary |
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. John Michael Mcnulty is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
John Michael Mcnulty, MD
229 S 8th St, St Maries Family Medicine,
St Maries, ID 83861-1813
Ph: (208) 245-2591 | John Michael Mcnulty, MD
229 S 8th St, St Maries Family Medicine,
St Maries, ID 83861-1813
Ph: (208) 245-2591 |
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