Kevin R Mull (NPI# 1871669796, PAC ID# 8224162458) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1871669796 |
| PAC ID by PECOS | 8224162458 |
| Professional Enrollment ID | I20101102001049 |
| Full Name | Kevin R Mull |
| Organization Legal Name | LOWER SHORE IMMEDIATE CARE LLC |
| Address |
12302 Somerset Ave Suite Ab Princess Anne MD 21853-3099 |
| Phone Number | 4106510300 |
| Gender | M |
| Graduation Year | 1998 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 0749578300 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 210061 | ATLANTIC GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 12302 Somerset Ave, Suite Ab, Princess Anne, MD 21853-3099 | 4106510300 | LOWER SHORE IMMEDIATE CARE LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_116_overall | Avoidance of Antibiotic Treatment in Adults With Acute Bronchitis | 6% | |
| MIPS_EC_331_overall | Adult Sinusitis: Antibiotic Prescribed for Acute Sinusitis (Overuse) (100%: worst, 0% best) | 99% | |
| MIPS_EC_402_overall | Tobacco Use and Help with Quitting Among Adolescents | 89% |
| Organization Legal Name | LOWER SHORE IMMEDIATE CARE LLC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John Byrd | Physician Assistant | Lower Shore Immediate Care LLC | 12302 Somerset Ave, Suite Ab, Princess Anne, MD 21853-3099 |
| David C Ford | Physician Assistant | Lower Shore Immediate Care LLC | 12302 Somerset Ave, Suite Ab, Princess Anne, MD 21853-3099 |
| Lainey C Ruffner | Physician Assistant | Lower Shore Immediate Care LLC | 12302 Somerset Ave, Suite Ab, Princess Anne, MD 21853-3099 |
| Alfred Lorenzo Phelps | Physician Assistant | Lower Shore Immediate Care LLC | 12302 Somerset Ave, Suite Ab, Princess Anne, MD 21853-3099 |
| Meghan S East | Physician Assistant | Lower Shore Immediate Care LLC | 12302 Somerset Ave, Suite Ab, Princess Anne, MD 21853-3099 |
| Street Address |
12302 SOMERSET AVE SUITE AB |
| City | PRINCESS ANNE |
| State | MD |
| Zip | 21853-3099 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John Byrd | Physician Assistant | Lower Shore Immediate Care LLC | 12302 Somerset Ave, Suite Ab, Princess Anne, MD 21853-3099 |
| David C Ford | Physician Assistant | Lower Shore Immediate Care LLC | 12302 Somerset Ave, Suite Ab, Princess Anne, MD 21853-3099 |
| Lainey C Ruffner | Physician Assistant | Lower Shore Immediate Care LLC | 12302 Somerset Ave, Suite Ab, Princess Anne, MD 21853-3099 |
| Alfred Lorenzo Phelps | Physician Assistant | Lower Shore Immediate Care LLC | 12302 Somerset Ave, Suite Ab, Princess Anne, MD 21853-3099 |
| Meghan S East | Physician Assistant | Lower Shore Immediate Care LLC | 12302 Somerset Ave, Suite Ab, Princess Anne, MD 21853-3099 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer E Wheeler | Clinical Social Worker | 30632 Hampden Ave, Princess Anne, MD 21853-1009 | |
| Valerie Lewis | Clinical Social Worker | 11672 Somerset Ave, Princess Anne, MD 21853-1136 | |
| Katerina B Todorov | Internal Medicine | Three Lower Counties Community Services Inc | 12137 Elm St, Princess Anne, MD 21853-1358 |
| Gabrielle E Gill | Certified Nurse Midwife (cnm) | Three Lower Counties Community Services Inc | 12137 Elm St, Princess Anne, MD 21853-1358 |
| Jane N Iwebo | Nurse Practitioner | Three Lower Counties Community Services Inc | 12137 Elm St, Princess Anne, MD 21853-1358 |
| Karri L Washbon | Certified Nurse Midwife (cnm) | Three Lower Counties Community Services Inc | 12137 Elm St, Princess Anne, MD 21853-1358 |
| Juan C Zelaya | Physician Assistant | Three Lower Counties Community Services Inc | 12137 Elm St, Princess Anne, MD 21853-1358 |
| Shannon N Biesterfeld | Certified Nurse Midwife (cnm) | Three Lower Counties Community Services Inc | 12137 Elm St, Princess Anne, MD 21853-1358 |
| Eliza Claire M Harper | Certified Nurse Midwife | Three Lower Counties Community Services Inc | 12137 Elm St, Princess Anne, MD 21853-1358 |
| Charles B Hofmann | Internal Medicine | Princess Anne Family Practice | 30434 Mount Vernon Rd, Princess Anne, MD 21853-1400 |
| Find all physicians in zip 21853 | |||
| City | PRINCESS ANNE |
| Zip Code | 21853 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | PRINCESS ANNE + PHYSICIAN ASSISTANT |
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| 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.