John Mullin, PA - Medicare Physician Assistant in Staten Island, NY

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John Mullin, PA is a medicare enrolled "Physician Assistant" in Staten Island, New York. He graduated from nursing school in 2005 and has 21 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Jal 28 Llc and his current practice location is 1414 Victory Blvd, Staten Island, New York. You can reach out to his office (for appointments etc.) via phone at (718) 447-1261.

John Mullin is licensed to practice in New York (license number 010986-1) 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 1457527095.

Contact Information

John Mullin, PA
1414 Victory Blvd,
Staten Island, NY 10301-3908
(718) 447-1261
Not Available

Map and Direction




Provider's Profile

Full NameJohn Mullin
GenderMale
SpecialityPhysician Assistant
Experience21 Years
Location1414 Victory Blvd, Staten Island, New York
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:
  • John Mullin graduated from nursing school in 2005
  NPI Data:
  • NPI Number: 1457527095
  • Provider Enumeration Date: 05/04/2008
  • Last Update Date: 05/04/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 1759718653
  • Enrollment ID: I20200304002518

Medical Identifiers

Medical identifiers for John Mullin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457527095NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 010986-1 (New York)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Jal 28 Llc519326283012

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. John Mullin allows following entities to bill medicare on his behalf.
Entity NameA Merryland Operating LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972848307
PECOS PAC ID: 5890929210
Enrollment ID: O20131017001230
Entity NameJal 28 LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063278281
PECOS PAC ID: 5193262830
Enrollment ID: O20240731000953

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. John Mullin 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
John Mullin, PA
1414 Victory Blvd,
Staten Island, NY 10301-3908

Ph: (718) 447-1261		John Mullin, PA
1414 Victory Blvd,
Staten Island, NY 10301-3908

Ph: (718) 447-1261

Reviews and Comments


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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.