Timothy James Mullally, DO - Medicare Family Practice in Crown Point, IN

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Timothy James Mullally, DO is a medicare enrolled "Family Medicine - Sports Medicine" physician in Crown Point, Indiana. He went to Midwestern University, Chicago College Of Osteopathic Med and graduated in 2002 and has 22 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Indiana Sports And Medical Science Institute, Pc, Rci (wrs), Llc. and his current practice location is 11275 Delaware Pkwy, Crown Point, Indiana. You can reach out to his office (for appointments etc.) via phone at (219) 779-8735.

Timothy James Mullally is licensed to practice in Indiana (license number 02003099A) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1366462046.

Contact Information

Timothy James Mullally, DO
11275 Delaware Pkwy,
Crown Point, IN 46307-7812
(219) 779-8735
(877) 715-2312

Map and Direction




Physician's Profile

Full NameTimothy James Mullally
GenderMale
SpecialityFamily Practice
Experience22 Years
Location11275 Delaware Pkwy, Crown Point, Indiana
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Timothy James Mullally attended and graduated from Midwestern University, Chicago College Of Osteopathic Med in 2002
  NPI Data:
  • NPI Number: 1366462046
  • Provider Enumeration Date: 07/19/2006
  • Last Update Date: 03/25/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 6709885171
  • Enrollment ID: I20061212000525

Medical Identifiers

Medical identifiers for Timothy James Mullally such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366462046NPI-NPPES
200829740MedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207QS0010XFamily Medicine - Sports Medicine 02003099A (Indiana)Primary
207Q00000XFamily Medicine 02003099A (Indiana)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Franciscan Health Crown PointCrown point, INHospital
Franciscan St Anthony Health - Michigan CityMichigan city, INHospital
St Mary Medical Center IncHobart, INHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Indiana Sports And Medical Science Institute, Pc28606625176
Rci (wrs), Llc.5092624510312

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. Timothy James Mullally allows following entities to bill medicare on his behalf.
Entity NameFranciscan Physician Network
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225327984
PECOS PAC ID: 3072790682
Enrollment ID: O20110608000486
Entity NameIndiana Sports & Medical Science Institute, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609155290
PECOS PAC ID: 2860662517
Enrollment ID: O20110907001110

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. Timothy James Mullally 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 AddressPractice Location Address
Timothy James Mullally, DO
Po Box 108,
Crown Point, IN 46308-0108

Ph: (219) 779-8735		Timothy James Mullally, DO
11275 Delaware Pkwy,
Crown Point, IN 46307-7812

Ph: (219) 779-8735

Reviews and Comments


Family Medicine Doctors in Crown Point, IN

Valerie Cecelia Maguire, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 10607 Randolph St, Ste A, Crown Point, IN 46307
Phone: 219-663-4007    Fax: 219-663-4198
Dr. James Simantirakis, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 12800 Mississippi Pkwy Ste B201, Crown Point, IN 46307
Phone: 219-663-7000    Fax: 219-663-8610
Bo Ra Nam, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 12750 St Francis Dr, Crown Point, IN 46307
Phone: 219-757-6121    Fax: 219-681-6897
Mrs. Kamartaj S Quadri, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 12800 Mississippi Pkwy Ste B201, Crown Point, IN 46307
Phone: 219-663-7000    Fax: 219-663-8621
Dr. Julie Ann Derosa, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 10090 Georgia Street, Suite #3, Crown Point, IN 46307
Phone: 219-472-4077    Fax: 219-267-1720
Dr. Cathleen Ellen Mok, DO
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 11161 Randolph St, Crown Point, IN 46307
Phone: 219-662-9424    Fax: 219-662-7465

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.