Dr David Alan Mullen, DO is a medicare enrolled "Family Medicine" physician in Bonne Terre, Missouri. His current practice location is
30 N Allen St, Bonne Terre, Missouri. You can reach out to his office (for appointments etc.) via phone at
(573) 358-3343.
Dr David Alan Mullen is licensed to practice in Missouri (license number 36676) 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 1891760237.
Physician's Profile
| Full Name | Dr David Alan Mullen |
|---|
| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 30 N Allen St, Bonne Terre, Missouri |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1891760237
- Provider Enumeration Date: 02/21/2006
- Last Update Date: 10/22/2019
Medicare PECOS Information:
- PECOS PAC ID: 6507762226
- Enrollment ID: I20031211000760
Medical Identifiers
Medical identifiers for Dr David Alan Mullen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1891760237 | NPI | - | NPPES |
| 325136 | Other | MO | HARMONY HEALTH PLAN |
| 242084929 | Medicaid | MO | |
| 4393019 | Other | MO | AETNA |
| A10298 | Other | MO | MERCY HEALTH PLAN |
| 080123004 | Other | MO | RAILROAD MEDICARE |
| 700678 | Other | MO | MERCY CARE PLUS |
| 0130012 | Other | MO | UNITED HEALTH CARE |
| 101523 | Other | MO | HEALTHLINK, INC. |
| 20351 | Other | MO | BC.BS OF MO |
| 367V40311 | Other | MO | GROUP HEALTH PLAN |
| 431815767 | Other | MO | CMR |
| 13015V21878 | Other | MO | HEALTHCARE USA |
| 431815767 | Other | MO | GREAT WEST LIFE INS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 36676 (Missouri) | 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. Dr David Alan Mullen allows following entities to bill medicare on his behalf.
| Entity Name | Iron County Hospital District |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1477648178
PECOS PAC ID: 0941207526
Enrollment ID: O20070517000093 |
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| Entity Name | Potosi Emergency Group, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1881075349
PECOS PAC ID: 0648588541
Enrollment ID: O20150925001293 |
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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. Dr David Alan 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 |
|---|
Dr David Alan Mullen, DO
30 N Allen St,
Bonne Terre, MO 63628-1210
Ph: (573) 358-3343 | Dr David Alan Mullen, DO
30 N Allen St,
Bonne Terre, MO 63628-1210
Ph: (573) 358-3343 |
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