MRS. DEBORAH LYNN MULLINAX PA-C NPI 1821069964

NPI Information

NPI: 1821069964
Provider Name: MRS. DEBORAH LYNN MULLINAX, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
916 JACKSON AVE
SHERIDAN, WY
ZIP 82801
Phone: (307) 672-6451
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MRS. Deborah Lynn Mullinax, PA-C is a medical physician assistant in Sheridan, WY with 20 years of experience. MRS. Deborah Lynn Mullinax, PA-C NPI is 1821069964. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

916 JACKSON AVE
SHERIDAN, WY
ZIP 82801-708
Phone: (307) 672-6451
Fax: (307) 672-1704

The NPI 1821069964 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

Insertion of needle into vein for collection of blood sample (HCPCS:36415)

The enumeration date for this NPI number is 1/27/2006 and was last updated on 1/12/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	344	WYOMING	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	7705130	MEDICAID	SOUTH DAKOTA
2	000405665	MEDICAID	MONTANA
3	100048900	MEDICAID	WYOMING
4	830245718-13	MEDICAID	NEBRASKA
5	313672	OTHER	WYOMING	BCBS INDIV
6	00941001	OTHER	WYOMING	BCBS GROUP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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