Brett A Mullen (NPI# 1700118247, PAC ID# 6608052931) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
Nation Provider ID (NPI) | 1700118247 |
PAC ID by PECOS | 6608052931 |
Professional Enrollment ID | I20110520000186 |
Full Name | Brett A Mullen |
Organization Legal Name | VITALITY CHIROPRACTIC INC |
Address |
325 Main St Great Bend PA 18821-9753 |
Phone Number | 5708792979 |
Gender | M |
Medical School | NEW YORK CHIROPRACTIC COLLEGE |
Graduation Year | 2010 |
Primary Specialty | CHIROPRACTIC |
Group Practice PAC ID | 2163709973 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
325 Main St, Great Bend, PA 18821-9753 | 5708792979 | VITALITY CHIROPRACTIC INC |
Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
---|---|---|---|
MIPS_EC_131_overall | Pain Assessment and Follow-Up | 100% | |
MIPS_EC_131_overall | Pain Assessment and Follow-Up | 100% | |
MIPS_EC_182_overall | Functional Outcome Assessment | 100% | |
MIPS_EC_182_overall | Functional Outcome Assessment | 100% |
Organization Legal Name | VITALITY CHIROPRACTIC INC |
Physicians | 2 |
Name | Specialty | Organization | Address |
---|---|---|---|
George Stover | Chiropractic | Vitality Chiropractic Inc | 325 Main St, Great Bend, PA 18821-9753 |
Street Address |
325 MAIN ST |
City | GREAT BEND |
State | PA |
Zip | 18821-9753 |
Name | Specialty | Organization | Address |
---|---|---|---|
Christopher P Derosa | Physical Therapy | Davis and Derosa Physical Therapy Inc | 325 Main St, El Segundo, CA 90245-3814 |
Nicholas E Sakellarios | Internal Medicine | Rajeswara Rao Patcha Md PC | 325 Main St, Northport, NY 11768-1790 |
William Lyle Quibell | Physical Therapy | Davis and Derosa Physical Therapy Inc | 325 Main St, El Segundo, CA 90245-3814 |
Lianne K Koo | Physical Therapy | Davis and Derosa Physical Therapy Inc | 325 Main St, El Segundo, CA 90245-3814 |
George Stover | Chiropractic | Vitality Chiropractic Inc | 325 Main St, Great Bend, PA 18821-9753 |
Garret L Wong | Physical Therapy | Davis and Derosa Physical Therapy Inc | 325 Main St, El Segundo, CA 90245-3814 |
Andrew Taeho Kim | Physical Therapy | Davis and Derosa Physical Therapy Inc | 325 Main St, El Segundo, CA 90245-3814 |
Michael Overstreet | Physical Therapy | Davis and Derosa Physical Therapy Inc | 325 Main St, El Segundo, CA 90245-3814 |
Miranda Jo Kerbawy | Physical Therapy | Davis and Derosa Physical Therapy Inc | 325 Main St, El Segundo, CA 90245-3814 |
Alexandra Rimmer | Physical Therapy | Davis and Derosa Physical Therapy Inc | 325 Main St, El Segundo, CA 90245-3814 |
Find all physicians in the same address |
City | GREAT BEND |
Zip Code | 18821 |
Specialty | CHIROPRACTIC |
City + Specialty | GREAT BEND + CHIROPRACTIC |
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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.