Gerald J Mullan (NPI# 1457361503, PAC ID# 0547340507) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1457361503 |
| PAC ID by PECOS | 0547340507 |
| Professional Enrollment ID | I20080103000043 |
| Full Name | Gerald J Mullan |
| Address |
22039 John R R Rd Hazel Park MI 48030-1712 |
| Gender | M |
| Medical School | WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1968 |
| Primary Specialty | OPHTHALMOLOGY |
| Secondary Specialties | GENERAL PRACTICE |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 22039 John R R Rd, Hazel Park, MI 48030-1712 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_111_overall | Pneumococcal Vaccination Status for Older Adults | 100% | |
| MIPS_EC_111_overall | Pneumococcal Vaccination Status for Older Adults | 100% | |
| MIPS_EC_113_overall | Colorectal Cancer Screening | 100% | |
| MIPS_EC_113_overall | Colorectal Cancer Screening | 100% |
| Street Address |
22039 JOHN R R RD |
| City | HAZEL PARK |
| State | MI |
| Zip | 48030-1712 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patrycja I Czesnowski | Family Medicine | 24503 John R Rd, Hazel Park, MI 48030-1141 | |
| Iyad J Alosachie | Internal Medicine | Michigan Healthcare Professionals PC | 23411 John R Rd, Hazel Park, MI 48030-1404 |
| Musib S Gappy | Internal Medicine | Michigan Healthcare Professionals PC | 23411 John R Rd, Hazel Park, MI 48030-1404 |
| Shawn S Gappy | Ophthalmology | 23411 John R Rd, Suite 4, Hazel Park, MI 48030-1404 | |
| Gary L Grossman | Chiropractic | 23507 John R Rd, Hazel Park, MI 48030-1408 | |
| Edward Fireberg | Chiropractic | 23507 John R Rd, Hazel Park, MI 48030-1408 | |
| Lawrence A Greenberg | Nephrology | 23231 John R Rd, Hazel Park, MI 48030-1476 | |
| Candice N Mcclain | Nurse Practitioner | Minuteclinic Diagnostic of Michigan PC | 33 W 9 Mile Rd, Hazel Park, MI 48030-1701 |
| Tasondra L Foltz | Nurse Practitioner | Minuteclinic Diagnostic of Michigan PC | 33 W 9 Mile Rd, Hazel Park, MI 48030-1701 |
| Ashlie C Wilbon | Nurse Practitioner | Minuteclinic Diagnostic of Michigan PC | 33 W 9 Mile Rd, Hazel Park, MI 48030-1701 |
| Find all physicians in zip 48030 | |||
| City | HAZEL PARK |
| Zip Code | 48030 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | HAZEL PARK + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on Gerald J Mullan.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.