| Jonathan Mcmullen, MD | |
|
340 Riverwood Rd, Mooresville, NC 28117-8896 | |
| (704) 928-5174 | |
| (704) 662-6946 |
| Full Name | Jonathan Mcmullen |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 33 Years |
| Location | 340 Riverwood Rd, Mooresville, North Carolina |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770678351 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 01754 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Novant Health Presbyterian Medical Center | Charlotte, NC | Hospital |
| Halifax Regional Medical Center Inc | Roanoke rapids, NC | Hospital |
| Novant Health Mint Hill Medical Center | Charlotte, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Providence Anesthesiology Associates Pa | 3971566761 | 240 |
| Entity Name | Providence Anesthesiology Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396739884 PECOS PAC ID: 3971566761 Enrollment ID: O20041111000930 |
| Entity Name | Medstream Anesthesia Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649616160 PECOS PAC ID: 7416198049 Enrollment ID: O20140304001209 |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan Mcmullen, MD 344 Rolling Hill Rd, Ste 102, Mooresville, NC 28117-6865 Ph: (704) 464-4439 | Jonathan Mcmullen, MD 340 Riverwood Rd, Mooresville, NC 28117-8896 Ph: (704) 928-5174 |
Dr. Joshua W Courtney, DO Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 344 Rolling Hill Rd, Mooresville, NC 28117 Phone: 704-464-4439 Fax: 704-664-8802 | |
Christopher J Yates, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 131 Medical Park Rd, Suite 201, Mooresville, NC 28117 Phone: 704-662-0877 Fax: 704-662-0875 | |
Randall P Williams, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 146 Medical Park Rd Ste 108, Mooresville, NC 28117 Phone: 704-662-0877 Fax: 704-662-0875 |