Timothy Edward Mulberry, in Fairfield, CT - Medicare Physician Assistant

Timothy Edward Mulberry, is a medicare enrolled "Physician Assistant" in Fairfield, Connecticut. He graduated from nursing school in 2023 and has 3 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Bridgeport Hospital and his current practice location is 796 Knapps Hwy, Fairfield, Connecticut. You can reach out to his office (for appointments etc.) via phone at (203) 505-4508.

Timothy Edward Mulberry is licensed to practice in Connecticut (license number 6138) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1649975012.

Contact Information

	Timothy Edward Mulberry,
	796 Knapps Hwy, Fairfield, CT 06825-4208
	(203) 505-4508
	Not Available

Map and Direction

Provider's Profile

Full Name	Timothy Edward Mulberry
Gender	Male
Speciality	Physician Assistant
Experience	3 Years
Location	796 Knapps Hwy, Fairfield, Connecticut
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Timothy Edward Mulberry graduated from nursing school in 2023

NPI Data:

NPI Number: 1649975012
Provider Enumeration Date: 04/04/2023
Last Update Date: 08/02/2023

Medicare PECOS Information:

PECOS PAC ID: 1254781321
Enrollment ID: I20240102002661

Medical Identifiers

Medical identifiers for Timothy Edward Mulberry such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649975012	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	6138 (Connecticut)	Primary
363A00000X	Physician Assistant	(* (Not Available))	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Bridgeport Hospital	Bridgeport, CT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Bridgeport Hospital	2062312598	121

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. Timothy Edward Mulberry 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
Timothy Edward Mulberry, 796 Knapps Hwy, Fairfield, CT 06825-4208 Ph: (203) 505-4508	Timothy Edward Mulberry, 796 Knapps Hwy, Fairfield, CT 06825-4208 Ph: (203) 505-4508

Reviews and Comments

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Timothy Edward Mulberry, - Medicare Physician Assistant in Fairfield, CT