| 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 | Certified Registered Nurse Anesthetist (crna) |
| Experience | 25 Years |
| Location | 150 S Warner Rd, King Of Prussia, Pennsylvania |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| 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 |
| Facility Name | Location | Facility Type |
|---|---|---|
| Virtua West Jersey Hospitals | Voorhees, NJ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Virtua Medical Group, Pa | 9830222397 | 1674 |
| Entity Name | West Jersey Anesthesia Associate Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609861947 PECOS PAC ID: 6507859386 Enrollment ID: O20040407000191 |
| Entity Name | Penn Valley Anesthesia Associates, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568659670 PECOS PAC ID: 5395788442 Enrollment ID: O20060331000012 |
| Entity Name | Virtua Medical Group, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649226515 PECOS PAC ID: 9830222397 Enrollment ID: O20100804000338 |
| 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: O20170120001132 |
| 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 |