Joseph Michael Mulligan, CRNA - Medicare Nurse Anesthetist, Certified Registered in Leitchfield, KY

Joseph Michael Mulligan, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Leitchfield, Kentucky. His current practice location is 515 Lake Front Rd., Leitchfield, Kentucky. You can reach out to his office (for appointments etc.) via phone at (270) 230-0377.

Joseph Michael Mulligan is licensed to practice in Indiana (license number 28092549A) 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 1689611469.

Contact Information

Joseph Michael Mulligan, CRNA
515 Lake Front Rd.,
Leitchfield, KY 42754
(270) 230-0377
Not Available



Provider's Profile

Full NameJoseph Michael Mulligan
GenderMale
SpecialityNurse Anesthetist, Certified Registered
Location515 Lake Front Rd., Leitchfield, Kentucky
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1689611469
  • Provider Enumeration Date: 06/01/2006
  • Last Update Date: 08/07/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 1254318751
  • Enrollment ID: I20040702000008

Medical Identifiers

Medical identifiers for Joseph Michael Mulligan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689611469NPI-NPPES
360955OtherININ BCBS ANTHEM PROVIDER #
10001010MedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 28092549A (Indiana)Primary

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. Joseph Michael Mulligan allows following entities to bill medicare on his behalf.
Entity NameApollo Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396179461
PECOS PAC ID: 3072741370
Enrollment ID: O20140113001443

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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. Joseph Michael 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
Joseph Michael Mulligan, CRNA
515 Lake Front Rd.,
Leitchfield, KY 42754

Ph: (270) 230-0377
Joseph Michael Mulligan, CRNA
515 Lake Front Rd.,
Leitchfield, KY 42754

Ph: (270) 230-0377

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Nurse Anesthetist, Certified Registered Nurses in Leitchfield, KY

John Anthony Lyons, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 904 Wallace Ave, Leitchfield, KY 42754
Phone: 270-259-9470    
Rodney D Mann, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 910 Wallace Ave, Leitchfield, KY 42754
Phone: 270-259-9512    
Jared Crocker, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 910 Wallace Ave, Leitchfield, KY 42754
Phone: 270-274-0480    
Mrs. Merry Lynn Green, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 904 Wallace Ave, Leitchfield, KY 42754
Phone: 270-259-9470    Fax: 270-259-1662
Callie J Hancock,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 910 Wallace Ave, Leitchfield, KY 42754
Phone: 270-259-9512    
Mrs. Richelle Lynn Humphrey,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 904 Wallace Ave, Leitchfield, KY 42754
Phone: 270-259-9470    
Susan Kirkwood, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 317 N English St, Leitchfield, KY 42754
Phone: 502-550-4164    

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