Mr Bennie Joe Mullins Jr, CRNA in Newnan, GA - Medicare Nurse Anesthetist, Certified Registered

Mr Bennie Joe Mullins Jr, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Newnan, Georgia. His current practice location is 1755 Highway 34 E, Suite 1100, Newnan, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 251-2060.

Mr Bennie Joe Mullins Jr is licensed to practice in Missouri (license number 2004036293) 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 1235111428.

Contact Information

	Mr Bennie Joe Mullins Jr, CRNA
	1755 Highway 34 E, Suite 1100, Newnan, GA 30265-5631
	(770) 251-2060
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Bennie Joe Mullins Jr
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	1755 Highway 34 E, Newnan, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1235111428
Provider Enumeration Date: 11/15/2005
Last Update Date: 05/03/2023

Medicare PECOS Information:

PECOS PAC ID: 9739122052
Enrollment ID: I20090811000467

Medical Identifiers

Medical identifiers for Mr Bennie Joe Mullins Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235111428	NPI	-	NPPES
917249500	Medicaid	MO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	RN113064 (Georgia)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	2004036293 (Missouri)	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. Mr Bennie Joe Mullins Jr allows following entities to bill medicare on his behalf.

Entity Name	Dhhs,phs,naihs, Gallup Indian Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225002322 PECOS PAC ID: 3173436409 Enrollment ID: O20031111000840

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. Mr Bennie Joe Mullins Jr 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
Mr Bennie Joe Mullins Jr, CRNA Po Box 73709, Newnan, GA 30271-3709 Ph: (770) 251-2060	Mr Bennie Joe Mullins Jr, CRNA 1755 Highway 34 E, Suite 1100, Newnan, GA 30265-5631 Ph: (770) 251-2060

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Newnan, GA

Rebecca Ryan Bunt, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 80 Newnan Station Drive, Suite A, Newnan, GA 30265 Phone: 770-251-2060 Fax: 678-854-9235
Caitlin Craig Lofaro, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 600 Celebrate Life Pkwy, Newnan, GA 30265 Phone: 770-744-4809
Timothy Joseph Palmer, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 80 Newnan Station Dr, Suite A, Newnan, GA 30265 Phone: 770-251-2060
Shawn Biddle, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1755 Highway 34 E Ste 1100, Newnan, GA 30265 Phone: 770-252-7510
Taylor Michelle Courtner, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1755 Highway 34 E Ste 1100, Newnan, GA 30265 Phone: 770-252-7510
Mr. Paul L Duso, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 80 Newnan Station Drive Suite A, Newnan, GA 30265 Phone: 770-251-2060 Fax: 678-854-9235
Ramon Kevin Hice, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 80 Newnan Station Drive, Suite A, Newnan, GA 30265 Phone: 770-251-2060 Fax: 678-854-9235

Mr Bennie Joe Mullins Jr, CRNA - Medicare Nurse Anesthetist, Certified Registered in Newnan, GA