Kathleen A Mulligan, MD - Medicare Dermatology in Westlake, OH

Kathleen A Mulligan, MD is a medicare enrolled "Dermatology" physician in Westlake, Ohio. She went to Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University and graduated in 1992 and has 32 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Westshore Dermatology Inc and her current practice location is 1991 Crocker Rd, Suite 310, Westlake, Ohio. You can reach out to her office (for appointments etc.) via phone at (440) 617-9114.

Kathleen A Mulligan is licensed to practice in Ohio (license number 35066003) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1659320398.

Contact Information

Kathleen A Mulligan, MD
1991 Crocker Rd, Suite 310,
Westlake, OH 44145-6969
(440) 617-9114
(440) 617-9058



Physician's Profile

Full NameKathleen A Mulligan
GenderFemale
SpecialityDermatology
Experience32 Years
Location1991 Crocker Rd, Westlake, Ohio
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kathleen A Mulligan attended and graduated from Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University in 1992
  NPI Data:
  • NPI Number: 1659320398
  • Provider Enumeration Date: 05/09/2006
  • Last Update Date: 06/24/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 4587715644
  • Enrollment ID: I20090701000005

Medical Identifiers

Medical identifiers for Kathleen A Mulligan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659320398NPI-NPPES
000000254178OtherOHANTHEM BC/BS
070017696OtherOHRAILROAD
0839961MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology 35066003 (Ohio)Primary
207NP0225XDermatology - Pediatric Dermatology 35066003 (Ohio)Secondary
207NS0135XDermatology - Procedural Dermatology 35066003 (Ohio)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Westshore Dermatology Inc21635696902

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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. Kathleen A Mulligan allows following entities to bill medicare on her behalf.
Entity NameWestshore Dermatology Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831295526
PECOS PAC ID: 2163569690
Enrollment ID: O20091102000274

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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. Kathleen A 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 AddressPractice Location Address
Kathleen A Mulligan, MD
1991 Crocker Rd, Suite 310,
Westlake, OH 44145-6969

Ph: (440) 617-9114
Kathleen A Mulligan, MD
1991 Crocker Rd, Suite 310,
Westlake, OH 44145-6969

Ph: (440) 617-9114

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Dermatology Doctors in Westlake, OH

Aziza A Wahby, DO
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 4350 Crocker Rd Ste 300, Westlake, OH 44145
Phone: 440-646-1600    Fax: 440-646-1505
Mihir Minesh Shah, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 26908 Detroit Rd Ste 103, Westlake, OH 44145
Phone: 440-249-0274    Fax: 440-808-1718
Dr. James M Kasick, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 29099 Health Campus Dr, Suite 330, Westlake, OH 44145
Phone: 440-835-6278    Fax: 440-835-6278
Dr. Louis Stephen Kish, MD
Dermatology
Medicare: Not Enrolled in Medicare
Practice Location: 26410 Center Ridge Rd, Westlake, OH 44145
Phone: 440-835-6194    Fax: 440-892-9160
Dr. Renuka Diwan, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 29101 Health Campus Dr, Suite 300, Westlake, OH 44145
Phone: 440-871-9832    Fax: 440-871-0816
Conley Walter Engstrom, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 26908 Detroit Rd, Suite 103, Westlake, OH 44145
Phone: 440-482-8323    Fax: 440-808-1606
Michael David Reep, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 26908 Detroit Rd, Suite 103, Westlake, OH 44145
Phone: 440-482-8323    Fax: 440-808-1606

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