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MARYLYN ANN MUDRICK MD029229E
NPI 1639132145
General Practice in Brookhaven, PA

Active since April 07, 2006PECOS EnrolledAccepts Medicare Assignment
3303A EDGMOUT AVE, BROOKHAVEN, PA 19015(610) 872-0565(610) 872-4478 Get Directions Write a Review

NPPES record last updated: December 31, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 31, 2024, Jan 27, 2017 (2 updates tracked since 2017).

About Marylyn Ann Mudrick Md029229e NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARYLYN ANN MUDRICK MD029229E (NPI 1639132145) is an individual general practice provider in Brookhaven, Pennsylvania, licensed in Pennsylvania (MD029229E) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS, is affiliated with Riddle Memorial Hospital, and is a graduate of Hahnemann University College Of Medicine (1982).

NPPES Registry Identity

NPI1639132145
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameMARYLYN ANN MUDRICKCredential: MD029229E
Location Address3303A EDGMOUT AVEBrookhaven, PA 19015-2801
Mailing Address3303a Edgmout AveBrookhaven, PA 19015-2801 · (610) 872-0565 · Fax (610) 872-4478
Phone(610) 872-0565
Fax(610) 872-4478
Sole ProprietorYes
Medical School CMSHahnemann University College Of MedicineGraduated 1982
Enumeration DateApril 7, 2006
Last NPPES UpdateDecember 31, 20242 updates tracked since enumeration
NPPES CertifiedDecember 31, 2024
✔ NPI 1639132145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in PA · MD029229E
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
3303A EDGMOUT AVE, Brookhaven, PA 19015
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Other Identifiers 3

Medicaid01500441PA
Other5023294Aetna
Other0554265001Keystone Ba St

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Marylyn Ann Mudrick Md029229e is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1951303635
PECOS Enrollment IDI20070208000604
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
58 services34 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
21 services17 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Riddle Memorial Hospital

Acute Care Hospitals · Media, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390222
Location1068 West Baltimore PikeMedia, PA 19063 · Delaware County
Emergency services Birthing friendly

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
2 suppliers18 claims33 services$5.79 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marylyn Mudrick's NPI number?

The NPI number for Marylyn Mudrick is 1639132145. It was assigned to this individual provider in the NPPES registry on April 7, 2006.

Where is Marylyn Mudrick located?

Marylyn Mudrick practices at 3303A Edgmout Ave, Brookhaven, PA 19015. The listed phone number is (610) 872-0565.

What is Marylyn Mudrick's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Marylyn Mudrick enrolled in Medicare?

Yes. Marylyn Mudrick is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Marylyn Mudrick affiliated with any hospitals?

According to CMS data, Marylyn Mudrick is affiliated with Riddle Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Marylyn Mudrick was last updated on December 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.