Ivan Mulligan, PT, SCS, ATC in Johnstown, PA - Medicare Physical Therapist Provider

Ivan Mulligan, PT, SCS, ATC is a medicare enrolled "Physical Therapist - Orthopedic" provider in Johnstown, Pennsylvania. His current practice location is 515 State St, Johnstown, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (814) 254-0086.

Ivan Mulligan is licensed to practice in Pennsylvania (license number PA008858-L) 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 1851485072.

Contact Information

	Ivan Mulligan, PT, SCS, ATC
	515 State St, Johnstown, PA 15905-2646
	(814) 254-0086
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ivan Mulligan
Gender	Male
Speciality	Physical Therapist - Orthopedic
Location	515 State St, Johnstown, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1851485072
Provider Enumeration Date: 10/03/2006
Last Update Date: 08/16/2007

Medicare PECOS Information:

PECOS PAC ID: 9537205802
Enrollment ID: I20221004001319

Medical Identifiers

Medical identifiers for Ivan Mulligan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851485072	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2251X0800X	Physical Therapist - Orthopedic	PA008858-L (Pennsylvania)	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. Ivan Mulligan allows following entities to bill medicare on his behalf.

Provider Name	West Virginia University Medical Corporation
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1275504508 PECOS PAC ID: 1052224565 Enrollment ID: O20031111000207

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. Ivan Mulligan 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
Ivan Mulligan, PT, SCS, ATC 515 State Street, Johnstown, PA 15904-2646 Ph: (814) 254-0086	Ivan Mulligan, PT, SCS, ATC 515 State St, Johnstown, PA 15905-2646 Ph: (814) 254-0086

Reviews and Comments

Physical Therapist in Johnstown, PA

Mr. John Quinn Tremel, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 787 Goucher St, Johnstown, PA 15905 Phone: 814-255-2588 Fax: 514-255-2588
Walter Ronan, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 336 Bloomfield St, Johnstown, PA 15904 Phone: 814-269-2224 Fax: 814-269-4587
Kaitlyn Emigh, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 807 Goucher St, Johnstown, PA 15905 Phone: 814-255-6844
Laurie Ann Beeman-demayo, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 336 Bloomfield St, Johnstown, PA 15904 Phone: 814-269-2224 Fax: 814-269-4587
Dr. Kathryn Marie Hines, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 336 Bloomfield St, Johnstown, PA 15904 Phone: 814-269-2224
Renee Deanne Sferro, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 336 Bloomfield St, Johnstown, PA 15904 Phone: 814-269-2224 Fax: 814-259-4587
Mr. Michael Brian Arnall, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 111 College Park Plz, Johnstown, PA 15904 Phone: 814-266-8833

Ivan Mulligan, PT, SCS, ATC - Medicare Physical Therapist in Johnstown, PA