Mr Mitch Smeding Wangsgard, is a medicare enrolled "Audiologist" provider in O Fallon, Illinois. His current practice location is
1415 W Highway 50, O Fallon, Illinois. You can reach out to his office (for appointments etc.) via phone at
(618) 624-4471.
Mr Mitch Smeding Wangsgard is licensed to practice in Missouri (license number 2017025273) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1083139497.
Healthcare Provider's Profile
Full Name | Mr Mitch Smeding Wangsgard |
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Gender | Male |
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Speciality | Audiologist |
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Location | 1415 W Highway 50, O Fallon, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1083139497
- Provider Enumeration Date: 08/07/2017
- Last Update Date: 08/07/2017
Medicare PECOS Information:
- PECOS PAC ID: 6608217922
- Enrollment ID: I20240516002978
Medical Identifiers
Medical identifiers for Mr Mitch Smeding Wangsgard such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1083139497 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
231H00000X | Audiologist | 2017025273 (Missouri) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Mitch Smeding Wangsgard allows following entities to bill medicare on his behalf.
Provider Name | Tanner Memorial Clinic |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1447239355 PECOS PAC ID: 4284547985 Enrollment ID: O20031110000132 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Mitch Smeding Wangsgard is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Mitch Smeding Wangsgard, 1415 W Highway 50, O Fallon, IL 62269-1618 Ph: (801) 603-0065 | Mr Mitch Smeding Wangsgard, 1415 W Highway 50, O Fallon, IL 62269-1618 Ph: (618) 624-4471 |
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