Misty Dawn Mcmullen, NP-C is a medicare enrolled "Nurse Practitioner - Family" in North Versailles, Pennsylvania. She graduated from nursing school in 2020 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Premier Medical Associates Pc and her current practice location is
1916 Lincoln Hwy, North Versailles, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(412) 824-5820.
Misty Dawn Mcmullen is licensed to practice in Pennsylvania (license number SP022936) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1609538537.
Provider's Profile
| Full Name | Misty Dawn Mcmullen |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 5 Years |
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| Location | 1916 Lincoln Hwy, North Versailles, Pennsylvania |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Misty Dawn Mcmullen graduated from nursing school in 2020
NPI Data:
- NPI Number: 1609538537
- Provider Enumeration Date: 10/07/2021
- Last Update Date: 12/18/2024
Medicare PECOS Information:
- PECOS PAC ID: 7911390752
- Enrollment ID: I20220131001598
Medical Identifiers
Medical identifiers for Misty Dawn Mcmullen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1609538537 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | SP022936 (Pennsylvania) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Premier Medical Associates Pc | 9830003235 | 105 |
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. Misty Dawn Mcmullen allows following entities to bill medicare on her behalf.
| Entity Name | Premier Medical Associates Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1447281092
PECOS PAC ID: 9830003235
Enrollment ID: O20031119000222 |
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| Entity Name | Minuteclinic Video Virtual Care, Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1316402746
PECOS PAC ID: 0143650416
Enrollment ID: O20200429001777 |
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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. Misty Dawn Mcmullen 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 |
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Misty Dawn Mcmullen, NP-C
1916 Lincoln Hwy,
North Versailles, PA 15137-2706
Ph: (412) 824-5820 | Misty Dawn Mcmullen, NP-C
1916 Lincoln Hwy,
North Versailles, PA 15137-2706
Ph: (412) 824-5820 |
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