Kenneth H Mullen, MD in Lodi, CA - Medicare Family Medicine

Kenneth H Mullen, MD is a medicare enrolled "Family Medicine" physician in Lodi, California. His current practice location is 1901 W Kettleman Ln, # 200, Lodi, California. You can reach out to his office (for appointments etc.) via phone at (209) 334-8540.

Kenneth H Mullen is licensed to practice in California (license number G27186) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1922065721.

Contact Information

	Kenneth H Mullen, MD
	1901 W Kettleman Ln, # 200, Lodi, CA 95242-4337
	(209) 334-8540
	(209) 368-2885

Map and Direction

Physician's Profile

Full Name	Kenneth H Mullen
Gender	Male
Speciality	Family Medicine
Location	1901 W Kettleman Ln, Lodi, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1922065721
Provider Enumeration Date: 04/27/2006
Last Update Date: 02/14/2012

Medicare PECOS Information:

PECOS PAC ID: 1850288036
Enrollment ID: I20040302001025

Medical Identifiers

Medical identifiers for Kenneth H Mullen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922065721	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	G27186 (California)	Primary

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. Kenneth H Mullen allows following entities to bill medicare on his behalf.

Entity Name	Adventist Health Physicians Network
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063718583 PECOS PAC ID: 3274580972 Enrollment ID: O20050407000633

Entity Name	Lodi Memorial Hospital Association Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861649352 PECOS PAC ID: 7618880717 Enrollment ID: O20050517000577

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. Kenneth H 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
Kenneth H Mullen, MD Po Box 241011, Lodi, CA 95241-9511 Ph: (209) 339-7435	Kenneth H Mullen, MD 1901 W Kettleman Ln, # 200, Lodi, CA 95242-4337 Ph: (209) 334-8540

Reviews and Comments

Family Medicine Doctors in Lodi, CA

Frank Silvio Alvarado, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 830 S Ham Lane, Suite 30, Lodi, CA 95240 Phone: 209-333-7540 Fax: 209-333-7444
Michael Jay Boling, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 2401 W Turner Rd Ste 450, Lodi, CA 95242 Phone: 209-373-2859
Richard Wyman Yee, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1300 W Lodi Ave, Sutie P, Lodi, CA 95242 Phone: 209-366-1990
Dr. Cha Choukao Thao, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2401 W Turner Rd Ste 450, Lodi, CA 95242 Phone: 209-370-1700
Dr. James R Mcfarland, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1235 W Vine St # 20, Lodi, CA 95240 Phone: 209-339-7600 Fax: 209-369-4880
Robert J Kellar Jr., MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1901 W Kettleman Ln, Suite 200, Lodi, CA 95242 Phone: 209-334-8540 Fax: 209-368-2885
Norman Dagobert Schmidt, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1901 W Kettleman Ln, Suite 200, Lodi, CA 95242 Phone: 209-334-8540 Fax: 209-368-2885

Kenneth H Mullen, MD - Medicare Family Medicine in Lodi, CA