| Mr Patrick James Mullen, MD | |
|
2121 W Ironwood Center Dr, Coeur D Alene, ID 83814-2639 | |
| (208) 625-4680 | |
| (208) 625-4681 |
| Full Name | Mr Patrick James Mullen |
|---|---|
| Gender | Male |
| Speciality | Hand Surgery |
| Experience | 31 Years |
| Location | 2121 W Ironwood Center Dr, Coeur D Alene, Idaho |
| 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 |
|---|---|---|---|
| 1629069885 | NPI | - | NPPES |
| 806468700 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0122X | Surgery - Plastic And Reconstructive Surgery | M8506 (Idaho) | Secondary |
| 207XS0106X | Orthopaedic Surgery - Hand Surgery | M-8506 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kootenai Health | Coeur d'alene, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kootenai Health Inc | 1355792276 | 382 |
| Entity Name | Kootenai Health, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235288655 PECOS PAC ID: 4789641598 Enrollment ID: O20041214000230 |
| Entity Name | Kootenai Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174661151 PECOS PAC ID: 1355792276 Enrollment ID: O20240111003252 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Patrick James Mullen, MD 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 Ph: (208) 625-5085 | Mr Patrick James Mullen, MD 2121 W Ironwood Center Dr, Coeur D Alene, ID 83814-2639 Ph: (208) 625-4680 |
Dr. Scott Andrew Brown, DO Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 850 W Ironwood Dr Ste 202, Coeur D Alene, ID 83814 Phone: 208-664-2175 Fax: 208-664-1226 | |
Dr. Stefan Noel Yakel, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 850 W Ironwood Dr, Coeur D Alene, ID 83814 Phone: 208-667-1376 | |
Dr. Jeffrey Robert Rees Lyman, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1233 N Northwood Center Ct Ste 101, Coeur D Alene, ID 83814 Phone: 208-457-4211 Fax: 208-773-1473 | |
Jonathan S King, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 850 W Ironwood Dr Ste 202, Coeur D Alene, ID 83814 Phone: 208-664-2175 | |
Douglas Patrick Mcinnis, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 850 W Ironwood Dr, Suite 202, Coeur D Alene, ID 83814 Phone: 208-664-2175 Fax: 208-664-1226 | |
Justin Luke Smith, DO Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 850 W Ironwood Dr Ste 202, Coeur D Alene, ID 83814 Phone: 208-664-2175 Fax: 208-664-1226 | |
Dr. Christopher Bryce Arena, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1233 N Northwood Center Ct Ste 101, Coeur D Alene, ID 83814 Phone: 208-457-4211 Fax: 208-773-1473 |