Ellyn Pearson Mullis, MD in Statesville, NC - Medicare Pediatrics

Ellyn Pearson Mullis, MD is a medicare enrolled "Pediatrics" physician in Statesville, North Carolina. Her current practice location is 1022 Shelton Ave, Statesville, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 768-2088.

Ellyn Pearson Mullis is licensed to practice in North Carolina (license number 37919) 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 1144336082.

Contact Information

	Ellyn Pearson Mullis, MD
	1022 Shelton Ave, Statesville, NC 28677-6826
	(704) 768-2088
	(704) 768-2081

Physician's Profile

Full Name	Ellyn Pearson Mullis
Gender	Female
Speciality	Pediatrics
Location	1022 Shelton Ave, Statesville, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144336082
Provider Enumeration Date: 08/22/2006
Last Update Date: 02/17/2012

Medicare PECOS Information:

PECOS PAC ID: 9335388099
Enrollment ID: I20130611000094

Medical Identifiers

Medical identifiers for Ellyn Pearson Mullis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144336082	NPI	-	NPPES
8966391	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	37919 (North Carolina)	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. Ellyn Pearson 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
Ellyn Pearson Mullis, MD 1022 Shelton Ave, Statesville, NC 28677-6826 Ph: (704) 768-2088	Ellyn Pearson Mullis, MD 1022 Shelton Ave, Statesville, NC 28677-6826 Ph: (704) 768-2088

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Pediatrics Doctors in Statesville, NC

Dr. Jon Ryan Hutchinson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 558 Kitchings Dr, Statesville, NC 28677 Phone: 704-838-8255 Fax: 704-871-9099
Elizabeth Whitley Fickling Rashley, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 129 Sherlock Dr, Statesville, NC 28625 Phone: 704-838-8245
Geoffrey Alan Abell, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 925 Thomas St Ste A, Statesville, NC 28677 Phone: 704-872-9595 Fax: 704-872-5851
Walter Curtis Gessler, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 129 Sherlock Dr, Statesville, NC 28625 Phone: 704-838-8245
Andrea Iyekepolo, Pediatrics Medicare: Medicare Enrolled Practice Location: 129 Sherlock Dr, Statesville, NC 28625 Phone: 704-838-8245 Fax: 704-924-4282
Tara Moon, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1410 Fern Creek Dr, Statesville, NC 28625 Phone: 704-978-2379 Fax: 704-978-2380

Ellyn Pearson Mullis, MD - Medicare Pediatrics in Statesville, NC