MEDICARE: HANNO P. MUELLNER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	155543	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	3705721007	OTHER	MA	CIGNA
2	000000008322	OTHER	MA	BMC
3	04-3194547	OTHER	MA	PHCS
4	04-3194547	OTHER	MA	NORTH AMERICAN PREFERRED
5	04-3194547	OTHER	MA	NORTHEAST HEALTHCARE ALLI
6	04-3194547	OTHER	MA	UNITED HEALTHCARE
7	04-3194547	OTHER	MA	GREAT-WEST
8	04-3194547	OTHER	MA	UNICARE/GIC
9	155543	OTHER	MA	TUFTS
10	21839	OTHER	MA	HNE
11	23584116	OTHER	MA	AETNA
12	J18375	OTHER	MA	BCBSMA
13	04-3194547	OTHER	MA	NORTHEAST HEALTH DIRECT
14	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
15	66797	OTHER	MA	HARVARD PILGRIM
16	04-3194547	OTHER	MA	CONSOLIDATED
17	04-3194547	OTHER	MA	PLAN VISTA
18	155543	OTHER	MA	CONNECTICARE

General Provider Information

NPI Number	:	1548220684
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HANNO P. MUELLNER MD

Provider Business Mailing Address
First Line	:	14 WILLIAMS ST
Second Line	:	PO BOX 765
City	:	WILLIAMSBURG
State	:	MA
Zip	:	01096-9427
Country	:	US
Telephone Number	:	413-268-3616
Fax Number	:	413-268-0337

Provider Business Practice Location Address
First Line	:	14 WILLIAMS ST
Second Line	:
City	:	WILLIAMSBURG
State	:	MA
Zip	:	01096-9427
Country	:	US
Telephone Number	:	413-268-3616
Fax Number	:	413-268-0337

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/24/2006
Last Update Date	:	10/25/2011

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