Madeline Mulder, in Glendale, CA - Medicare Nurse Practitioner

Madeline Mulder, is a medicare enrolled "Nurse Practitioner - Primary Care" in Glendale, California. Her current practice location is 435 Arden Ave Ste 460, Glendale, California. You can reach out to her office (for appointments etc.) via phone at (888) 209-8874.

Madeline Mulder is licensed to practice in California (license number 95027190) 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 1053185694.

Contact Information

	Madeline Mulder,
	435 Arden Ave Ste 460, Glendale, CA 91203-1139
	(888) 209-8874
	Not Available

Map and Direction

Provider's Profile

Full Name	Madeline Mulder
Gender	Female
Speciality	Nurse Practitioner - Primary Care
Location	435 Arden Ave Ste 460, Glendale, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053185694
Provider Enumeration Date: 11/14/2023
Last Update Date: 11/14/2023

Medicare PECOS Information:

PECOS PAC ID: 9537512819
Enrollment ID: I20240202001840

Medical Identifiers

Medical identifiers for Madeline Mulder such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053185694	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	95027190 (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. Madeline Mulder allows following entities to bill medicare on her behalf.

Entity Name	The Oncology Institute Ca, A Professional Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275651515 PECOS PAC ID: 5698872398 Enrollment ID: O20070514000607

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. Madeline Mulder 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
Madeline Mulder, 3109 Madera Ave, Los Angeles, CA 90039-2324 Ph: (805) 459-1863	Madeline Mulder, 435 Arden Ave Ste 460, Glendale, CA 91203-1139 Ph: (888) 209-8874

Reviews and Comments

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Madeline Mulder, - Medicare Nurse Practitioner in Glendale, CA