| Dr David Alan Mullen, DO | |
|
30 N Allen St, Bonne Terre, MO 63628-1210 | |
| (573) 358-3343 | |
| (573) 358-5458 |
| Full Name | Dr David Alan Mullen |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 30 N Allen St, Bonne Terre, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| 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 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 36676 (Missouri) | Primary |
| Entity Name | Iron County Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477648178 PECOS PAC ID: 0941207526 Enrollment ID: O20070517000093 |
| Entity Name | Potosi Emergency Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881075349 PECOS PAC ID: 0648588541 Enrollment ID: O20150925001293 |
| 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 |
April Brannum, FNP-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7245 Raider Rd Ste C, Bonne Terre, MO 63628 Phone: 573-358-4600 Fax: 573-358-4654 |