Amanda Mullen, MS - Medicare Speech-Language Pathologist in Montclair, NJ

Amanda Mullen, MS is a medicare enrolled "Speech-language Pathologist" provider in Montclair, New Jersey. Her current practice location is 180 Orange Rd, Apt 5b, Montclair, New Jersey. You can reach out to her office (for appointments etc.) via phone at (908) 309-6489.

Amanda Mullen is licensed to practice in New Jersey (license number 41YS0049100) 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 1316329212.

Contact Information

Amanda Mullen, MS
180 Orange Rd, Apt 5b,
Montclair, NJ 07042-2644
(908) 309-6489
Not Available



Healthcare Provider's Profile

Full NameAmanda Mullen
GenderFemale
SpecialitySpeech-language Pathologist
Location180 Orange Rd, Montclair, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1316329212
  • Provider Enumeration Date: 06/26/2015
  • Last Update Date: 06/26/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 6709255235
  • Enrollment ID: I20221206000647

Medical Identifiers

Medical identifiers for Amanda Mullen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316329212NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
235Z00000XSpeech-language Pathologist 41YS0049100 (New Jersey)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. Amanda Mullen allows following entities to bill medicare on her behalf.
Provider NamePearl Rehabilitation Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1225630122
PECOS PAC ID: 2466863915
Enrollment ID: O20201204001400

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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. Amanda 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
Amanda Mullen, MS
180 Orange Rd, Apt 5b,
Montclair, NJ 07042-2644

Ph: (908) 309-6489
Amanda Mullen, MS
180 Orange Rd, Apt 5b,
Montclair, NJ 07042-2644

Ph: (908) 309-6489

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Speech-Language Pathologist in Montclair, NJ

Ayana Webb, M.A., CCC-SLP
Speech-Language Pathologist
Medicare: Medicare Enrolled
Practice Location: 33 Hillside Ave Apt 7, Montclair, NJ 07042
Phone: 732-675-0279    
Mary Gagliardotto, MA, CF-SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 17 Watchung Plz, Montclair, NJ 07042
Phone: 973-744-0804    
Cara Cilento, CCC-SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 51 Upper Montclair Plz, Montclair, NJ 07043
Phone: 973-519-1989    
Brielle Korin Stern,
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 17 Watchung Plz, Montclair, NJ 07042
Phone: 973-744-0804    
Ciera Marie Iandiorio, CCC-SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 34 Valley Rd Apt 204, Montclair, NJ 07042
Phone: 973-349-0323    
Janel Modoski,
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 395 Claremont Ave Apt 2, Montclair, NJ 07042
Phone: 609-529-7194    
Eileen Anne Fasanella,
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 2 Woodmont Rd, Montclair, NJ 07043
Phone: 973-818-2164    

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