Ellie Camille Mulville, FNP-BC in Woodbridge, VA

Ellie Camille Mulville, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Woodbridge, Virginia. Her current practice location is 4899 Prince William Pkwy, Woodbridge, Virginia. You can reach out to her office (for appointments etc.) via phone at (866) 934-7450.

Ellie Camille Mulville is licensed to practice in Virginia (license number 0024187747) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1013786086.

Contact Information

	Ellie Camille Mulville, FNP-BC
	4899 Prince William Pkwy, Woodbridge, VA 22192-5434
	(866) 934-7450
	Not Available

Map and Direction

Provider's Profile

Full Name	Ellie Camille Mulville
Gender	Female
Speciality	Nurse Practitioner - Family
Location	4899 Prince William Pkwy, Woodbridge, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013786086
Provider Enumeration Date: 01/01/2024
Last Update Date: 01/04/2024

Medicare PECOS Information:

PECOS PAC ID: 0345692547
Enrollment ID: I20240123002341

Medical Identifiers

Medical identifiers for Ellie Camille Mulville such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013786086	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	0024187747 (Virginia)	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. Ellie Camille Mulville allows following entities to bill medicare on her behalf.

Entity Name	Brightview Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649786260 PECOS PAC ID: 9032426044 Enrollment ID: O20220401000078

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. Ellie Camille Mulville 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
Ellie Camille Mulville, FNP-BC 4600 Montgomery Rd Ste 400, Cincinnati, OH 45212-2600 Ph: (833) 510-4357	Ellie Camille Mulville, FNP-BC 4899 Prince William Pkwy, Woodbridge, VA 22192-5434 Ph: (866) 934-7450

Reviews and Comments

Nurse Practitioner Nurses in Woodbridge, VA

Yasmine M Kletter, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Potomac Center Office, 2296 Opitz Blvd, Ste. 300, Woodbridge, VA 22191 Phone: 703-523-0998
Dr. Adele E Young, P.N.P., PHD Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4379 Ridgewood Center Dr, Suite 102, Woodbridge, VA 22192 Phone: 703-680-7950 Fax: 703-680-7953
Mrs. Mercy Amo Sekyere, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6155 Tag Ct, Woodbridge, VA 22193 Phone: 571-330-3091
Nana Ama Maku Oduro, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16508 Bobster Ct, Woodbridge, VA 22191 Phone: 703-509-6387
Elia Tessera, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5523 Neddleton Ave, Woodbridge, VA 22193 Phone: 703-989-3169
Kathryn Wingo Burns, RN, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13001 Summit School Rd # A, Woodbridge, VA 22192 Phone: 703-494-4811

Ellie Camille Mulville, FNP-BC - Medicare Nurse Practitioner in Woodbridge, VA