Dr James Patrick Mullin, PSYD is a medicare enrolled "Clinical Neuropsychologist" provider in Gainesville, Georgia. He graduated from medical school in 1999 and has 25 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Northeast Georgia Physicians Group Inc and his current practice location is
1315 Jesse Jewell Pkwy Ne Ste 300, Gainesville, Georgia. You can reach out to his office (for appointments etc.) via phone at
(770) 219-9611.
Dr James Patrick Mullin is licensed to practice in Georgia (license number PSY002531) 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 1023176369.
Healthcare Provider's Profile
| Full Name | Dr James Patrick Mullin |
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| Gender | Male |
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| Speciality | Clinical Psychologist |
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| Experience | 25 Years |
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| Location | 1315 Jesse Jewell Pkwy Ne Ste 300, Gainesville, Georgia |
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| Accepts Medicare Assignments | Yes. He 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:
- Dr James Patrick Mullin graduated from medical school in 1999
NPI Data:
- NPI Number: 1023176369
- Provider Enumeration Date: 12/05/2006
- Last Update Date: 10/08/2021
Medicare PECOS Information:
- PECOS PAC ID: 2860631447
- Enrollment ID: I20130611000378
Medical Identifiers
Medical identifiers for Dr James Patrick Mullin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1023176369 | NPI | - | NPPES |
| 000964323A | Medicaid | GA | |
| 000964323B | Medicaid | GA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | PSY002531 (Georgia) | Secondary |
| 103G00000X | Clinical Neuropsychologist | PSY002531 (Georgia) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Northeast Georgia Physicians Group Inc | 6901898386 | 646 |
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. Dr James Patrick Mullin allows following entities to bill medicare on his behalf.
| Entity Name | Northeast Georgia Physicians Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1891745212
PECOS PAC ID: 6901898386
Enrollment ID: O20040402001277 |
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| Entity Name | Northeast Georgia Medical Center, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1720015993
PECOS PAC ID: 7517953755
Enrollment ID: O20040422000903 |
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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. Dr James Patrick Mullin 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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Dr James Patrick Mullin, PSYD
Po Box 742616,
Atlanta, GA 30374-2616
Ph: (770) 219-8420 | Dr James Patrick Mullin, PSYD
1315 Jesse Jewell Pkwy Ne Ste 300,
Gainesville, GA 30501
Ph: (770) 219-9611 |
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