Mrs Mendy L Mullis, C-PA is a medicare enrolled "Physician Assistant" in Odon, Indiana. Her current practice location is
202 N West St, Odon, Indiana. You can reach out to her office (for appointments etc.) via phone at
(812) 636-7300.
Mrs Mendy L Mullis is licensed to practice in Indiana (license number 10001157A) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1063744456.
Provider's Profile
| Full Name | Mrs Mendy L Mullis |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 202 N West St, Odon, Indiana |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1063744456
- Provider Enumeration Date: 02/10/2010
- Last Update Date: 06/23/2023
Medicare PECOS Information:
- PECOS PAC ID: 2163557364
- Enrollment ID: I20100312000579
Medical Identifiers
Medical identifiers for Mrs Mendy L Mullis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1063744456 | NPI | - | NPPES |
| 200153250A | Medicaid | IN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363A00000X | Physician Assistant | 10001157A (Indiana) | Primary |
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. Mrs Mendy L Mullis 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 |
Mrs Mendy L Mullis, C-PA Po Box 760, Washington, IN 47501-0760 Ph: (812) 254-2760 | Mrs Mendy L Mullis, C-PA 202 N West St, Odon, IN 47562-1032 Ph: (812) 636-7300 |
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