Parker Mullen, MD - Medicare Student in an Organized Health Care Education/Training Program in Jackson, MS

Parker Mullen, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Jackson, Mississippi. His current practice location is 2500 N State St, Jackson, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 984-6603.

Parker Mullen is licensed to practice in Mississippi (license number 31927) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1629501044.

Contact Information

Parker Mullen, MD
2500 N State St,
Jackson, MS 39216-4500
(601) 984-6603
Not Available



Physician's Profile

Full NameParker Mullen
GenderMale
SpecialityStudent In An Organized Health Care Education/training Program
Location2500 N State St, Jackson, Mississippi
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1629501044
  • Provider Enumeration Date: 04/04/2017
  • Last Update Date: 07/24/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5991052441
  • Enrollment ID: I20180716002033

Medical Identifiers

Medical identifiers for Parker Mullen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629501044NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 37720 (Alabama)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
390200000XStudent In An Organized Health Care Education/training Program 31927 (Mississippi)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. Parker Mullen 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
Parker Mullen, MD
2500 N State St,
Jackson, MS 39216-4500

Ph: (601) 984-6603
Parker Mullen, MD
2500 N State St,
Jackson, MS 39216-4500

Ph: (601) 984-6603

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