Loretta A Mullally, MD in Croswell, MI - Medicare General Practice

Loretta A Mullally, MD is a medicare enrolled "General Practice" physician in Croswell, Michigan. Her current practice location is 5525 E Peck Rd, Croswell, Michigan. You can reach out to her office (for appointments etc.) via phone at (810) 679-2950.

Loretta A Mullally is licensed to practice in Michigan (license number LM051024) 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 1467414227.

Contact Information

	Loretta A Mullally, MD
	5525 E Peck Rd, Croswell, MI 48422
	(810) 679-2950
	(810) 679-2960

Physician's Profile

Full Name	Loretta A Mullally
Gender	Female
Speciality	General Practice
Location	5525 E Peck Rd, Croswell, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1467414227
Provider Enumeration Date: 04/05/2006
Last Update Date: 06/09/2008

Medicare PECOS Information:

PECOS PAC ID: 3577722487
Enrollment ID: I20120313000671

Medical Identifiers

Medical identifiers for Loretta A Mullally such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1467414227	NPI	-	NPPES
0762000	Other		BCBSM
2684076	Medicaid	MI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208D00000X	General Practice	LM051024 (Michigan)	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. Loretta A Mullally 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
Loretta A Mullally, MD 5525 E Peck Rd, Croswell, MI 48422 Ph: (810) 679-2950	Loretta A Mullally, MD 5525 E Peck Rd, Croswell, MI 48422 Ph: (810) 679-2950

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Loretta A Mullally, MD - Medicare General Practice in Croswell, MI