Matthew Mullinix, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Riverton, Wyoming. His current practice location is
2100 W Sunset Dr, Riverton, Wyoming. You can reach out to his office (for appointments etc.) via phone at
(800) 967-1646.
Matthew Mullinix is licensed to practice in Wyoming (license number 22560.355) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1063457893.
Provider's Profile
| Full Name | Matthew Mullinix |
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| Gender | Male |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 2100 W Sunset Dr, Riverton, Wyoming |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1063457893
- Provider Enumeration Date: 06/17/2006
- Last Update Date: 11/25/2009
Medicare PECOS Information:
- PECOS PAC ID: 7012942741
- Enrollment ID: I20051001000044
Medical Identifiers
Medical identifiers for Matthew Mullinix such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063457893 | NPI | - | NPPES |
| 1063457893 | Medicaid | WY | |
| 315565 | Other | WY | BCBS |
| P00435055 | Other | WY | RAILROAD MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 22560.355 (Wyoming) | 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. Matthew Mullinix allows following entities to bill medicare on his behalf.
| Entity Name | Washakie Medical Center |
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| Entity Type | Part A Provider - Critical Access Hospital |
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| Entity Identifiers | NPI Number: 1255368593
PECOS PAC ID: 2466369301
Enrollment ID: O20061104000309 |
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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. Matthew Mullinix 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 |
|---|
Matthew Mullinix, CRNA
Po Box 32103,
Billings, MT 59107-2103
Ph: (317) 567-2180 | Matthew Mullinix, CRNA
2100 W Sunset Dr,
Riverton, WY 82501-2274
Ph: (800) 967-1646 |
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