Mallory Mullis, PA-C is a
Physician Assistant based in Brewton, Alabama. Mallory Mullis is licensed to practice in Alabama (license number PA.1168) and her current practice location is
1301 Belleville Ave, Brewton, Alabama. She can be reached at her office (for appointments etc.) via phone at
(251) 809-8439.
NPI number for Mallory Mullis is 1073062782 and her current mailing address is 1301 Belleville Ave, Brewton, Alabama. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1073062782.
Provider's Profile
| Full Name | Mallory Mullis |
|---|
| Gender | Female |
|---|
| Speciality | Physician Assistant |
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| Location | 1301 Belleville Ave, Brewton, Alabama |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1073062782
- Provider Enumeration Date: 09/23/2016
- Last Update Date: 09/23/2016
Medical Identifiers
Medical identifiers for Mallory Mullis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1073062782 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363A00000X | Physician Assistant | PA.1168 (Alabama) | Primary |
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. Mallory Mullis is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Mallory Mullis, PA-C 1301 Belleville Ave, Brewton, AL 36426-1306 Ph: (251) 809-8439 | Mallory Mullis, PA-C 1301 Belleville Ave, Brewton, AL 36426-1306 Ph: (251) 809-8439 |
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