Michael Edward Mullen, PA-C - Medicare Physician Assistant in Frederick, MD

Michael Edward Mullen, PA-C is a medicare enrolled "Physician Assistant" physician in Frederick, Maryland. He graduated from medical school in 2014 and has 10 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Amber Hill Physical Therapy Inc, Centers For Advanced Orthopaedics Llc and his current practice location is 86 Thomas Johnson Ct, Frederick, Maryland. You can reach out to his office (for appointments etc.) via phone at (301) 694-8311.

Michael Edward Mullen is licensed to practice in Maryland (license number C0005476) 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 1417356825.

Contact Information

Michael Edward Mullen, PA-C
86 Thomas Johnson Ct,
Frederick, MD 21702-4348
(301) 694-8311
(301) 694-3537



Physician's Profile

Full NameMichael Edward Mullen
GenderMale
SpecialityPhysician Assistant
Experience10 Years
Location86 Thomas Johnson Ct, Frederick, Maryland
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Michael Edward Mullen graduated from medical school in 2014
  NPI Data:
  • NPI Number: 1417356825
  • Provider Enumeration Date: 08/21/2014
  • Last Update Date: 03/09/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 7214252162
  • Enrollment ID: I20220304000081

Medical Identifiers

Medical identifiers for Michael Edward Mullen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417356825NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207X00000XOrthopaedic Surgery 026100 (New York)Secondary
363A00000XPhysician Assistant MA056918 (Pennsylvania)Secondary
363AS0400XPhysician Assistant - Surgical OA003308 (Pennsylvania)Secondary
363AS0400XPhysician Assistant - Surgical MA056918 (Pennsylvania)Secondary
363AS0400XPhysician Assistant - Surgical 026100 (New York)Secondary
363A00000XPhysician Assistant C0005476 (Maryland)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Amber Hill Physical Therapy Inc852796391767
Centers For Advanced Orthopaedics Llc8123260981476

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Medicare Part D Prescriber Enrollment

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Mailing Address and Practice Location

Mailing AddressPractice Location Address
Michael Edward Mullen, PA-C
86 Thomas Johnson Ct,
Frederick, MD 21702-4348

Ph: (301) 694-8311
Michael Edward Mullen, PA-C
86 Thomas Johnson Ct,
Frederick, MD 21702-4348

Ph: (301) 694-8311

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