Thaddeus Mully, MD in San Francisco, CA

Thaddeus Mully, MD is a medicare enrolled "Pathology - Dermatopathology" physician in San Francisco, California. His current practice location is 400 Parnassus Ave, San Francisco, California. You can reach out to his office (for appointments etc.) via phone at (415) 476-1000.

Thaddeus Mully is licensed to practice in California (license number A65484) 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 1174519607.

Contact Information

	Thaddeus Mully, MD
	400 Parnassus Ave, San Francisco, CA 94143-2202
	(415) 476-1000
	Not Available

Map and Direction

Physician's Profile

Full Name	Thaddeus Mully
Gender	Male
Speciality	Pathology - Dermatopathology
Location	400 Parnassus Ave, San Francisco, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174519607
Provider Enumeration Date: 09/20/2005
Last Update Date: 07/11/2018

Medicare PECOS Information:

PECOS PAC ID: 8820036650
Enrollment ID: I20090617000193

Medical Identifiers

Medical identifiers for Thaddeus Mully such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174519607	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207ND0900X	Dermatology - Dermatopathology	221206 (New York)	Secondary
207ZD0900X	Pathology - Dermatopathology	221206 (New York)	Secondary
207ZP0102X	Pathology - Anatomic Pathology & Clinical Pathology	A65484 (California)	Secondary
207ZD0900X	Pathology - Dermatopathology	A65484 (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. Thaddeus Mully allows following entities to bill medicare on his behalf.

Entity Name	University Of California Sfgh Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154396208 PECOS PAC ID: 5496668410 Enrollment ID: O20031113000632

Entity Name	University Of California San Francisco
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861578973 PECOS PAC ID: 4486567229 Enrollment ID: O20031212000897

Entity Name	Ucsf Medical Group Business Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477624104 PECOS PAC ID: 3779497870 Enrollment ID: O20040622001513

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. Thaddeus Mully 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
Thaddeus Mully, MD 640 Memorial Dr, Cambridge, MA 02139-4853 Ph: (617) 252-6880	Thaddeus Mully, MD 400 Parnassus Ave, San Francisco, CA 94143-2202 Ph: (415) 476-1000

Reviews and Comments

Pathology Doctors in San Francisco, CA

Dr. Elliott Scott Seeley, M.D., PH.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 513 Parnassus Ave, Hsw4, Suite 450a, San Francisco, CA 94143 Phone: 415-514-0738
Lucy Han, Pathology Medicare: Medicare Enrolled Practice Location: 1101 Van Ness Ave, San Francisco, CA 94109 Phone: 415-600-2200
Jason Yang, M.D., PH.D. Pathology Medicare: Medicare Enrolled Practice Location: 601 Van Ness Ave Apt 1028, San Francisco, CA 94102 Phone: 415-345-8836
Dr. Tarik Tihan, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 513 Parnassus Ave, San Francisco, CA 94143 Phone: 415-476-5236 Fax: 415-476-7963
John C. Moretto, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 3700 California St, San Francisco, CA 94118 Phone: 415-600-2200 Fax: 415-750-5001
Karthik A Ganapathi, MD, PHD Pathology Medicare: Accepting Medicare Assignments Practice Location: 505 Parnassus Ave, San Francisco, CA 94143 Phone: 415-476-1000
Dr. Scott R. Vandenberg, MD Pathology Medicare: Medicare Enrolled Practice Location: 513 Parnassus Ave, San Francisco, CA 94143 Phone: 415-502-7796 Fax: 415-476-1963

Thaddeus Mully, MD - Medicare Pathology in San Francisco, CA