Marie Katherine Mulcock, PA-S
NPI 1558897413ActiveIndividual· Physician Assistant, Surgical· Fullerton, CA
Physician Assistant, Surgical (PA-S) with University of Utah Adult Services, practicing in Fullerton, California. Part D covered 11 prescriptions written in 2024, 100% of them generic. Polynovo North America LLC was the largest of 2 companies reporting payments in 2025, $310.95 in all, mostly food and beverage. Lists University of Utah Hospital and Clinics as a hospital affiliation.
Overview
| NPI | 1558897413 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-S |
| Sole proprietor | No |
| NPI issued | May 11, 2017 |
| Last updated in NPPES | Nov 8, 2021 |
| Certified by provider | Nov 8, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Surgical Primary | 363AS0400X | 10618366-1206 | UT |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (UT) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 11 · 11 30-day fills |
|---|---|
| Total drug cost | $51.54 |
| Generic share | 100% of claims |
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- University of Utah Adult ServicesFarmington, UT · 1,788 clinicians
Hospital affiliation
- University of Utah Hospital and ClinicsSalt Lake City, UT
Industry payments (Open Payments)
- 2025$310.95 · 3 payments from 2 companies
- 2024$250.23 · 3 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Polynovo North America LLC | $164.48 | 2 |
| Integra Lifesciences Corporation | $146.47 | 1 |
What the 2025 payments were for
- Food and Beverage$310.95 · 3 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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