| Michael Mcmullen, CRNA | |
|
150 S Warner Rd, Suite 160, King Of Prussia, PA 19406-2826 | |
| (610) 254-9500 | |
| (610) 254-9501 |
| Full Name | Michael Mcmullen |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 150 S Warner Rd, King Of Prussia, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780669408 | NPI | - | NPPES |
| 001967569-0001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN517915L (Pennsylvania) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 26NJ00254100 (New Jersey) | Primary |
| Entity Name | Ultracare Anesthesia Partners Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407236110 PECOS PAC ID: 4082920525 Enrollment ID: O20200107001513 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Mcmullen, CRNA 150 S Warner Rd, Suite 160, King Of Prussia, PA 19406-2826 Ph: (610) 254-9500 | Michael Mcmullen, CRNA 150 S Warner Rd, Suite 160, King Of Prussia, PA 19406-2826 Ph: (610) 254-9500 |
Marcelle F Norwood, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 150 S Warner Rd, Suite 160, King Of Prussia, PA 19406 Phone: 610-254-9500 Fax: 610-254-9501 | |
Forrest David Rodden, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 150 S Warner Rd, Ste 160, King Of Prussia, PA 19406 Phone: 610-254-9500 Fax: 610-254-9501 | |
Joel Albano, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 150 S Warner Rd, Suite 160, King Of Prussia, PA 19406 Phone: 610-254-9500 Fax: 610-254-9501 | |
Pamela L Kauffman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 150 S Warner Rd, Suite 160, King Of Prussia, PA 19406 Phone: 610-254-9500 Fax: 610-254-9501 | |
Brian Flynn, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 150 S Warner Rd, Ste 160, King Of Prussia, PA 19406 Phone: 610-254-9500 Fax: 610-254-9501 | |
Maureen E. Ressler, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 150 S Warner Rd, Suite 160, King Of Prussia, PA 19406 Phone: 610-254-9500 Fax: 610-254-9501 |