Mitchell Wade Sutter, DC is a medicare enrolled "Chiropractor" provider in Taylor, Missouri. He went to Logan College Of Chiropractic and graduated in 2019 and has 5 years of diverse experience with area of expertise as Chiropractic. He is a member of the group practice Back Pain Center Llc and his current practice location is
156 County Road 313, Taylor, Missouri. You can reach out to his office (for appointments etc.) via phone at
(217) 430-4476.
Mitchell Wade Sutter is licensed to practice in Missouri (license number 2020015015) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1871133272.
Healthcare Provider's Profile
Full Name | Mitchell Wade Sutter |
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Gender | Male |
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Speciality | Chiropractic |
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Experience | 5 Years |
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Location | 156 County Road 313, Taylor, Missouri |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mitchell Wade Sutter attended and graduated from Logan College Of Chiropractic in 2019
NPI Data:
- NPI Number: 1871133272
- Provider Enumeration Date: 01/14/2020
- Last Update Date: 08/19/2020
Medicare PECOS Information:
- PECOS PAC ID: 7315373784
- Enrollment ID: I20200827000769
Medical Identifiers
Medical identifiers for Mitchell Wade Sutter such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1871133272 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111N00000X | Chiropractor | 038.013497 (Illinois) | Secondary |
111N00000X | Chiropractor | 2020015015 (Missouri) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Back Pain Center Llc | 5698874154 | 9 |
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. Mitchell Wade Sutter allows following entities to bill medicare on his behalf.
Provider Name | Back Pain Center Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1538384763 PECOS PAC ID: 5698874154 Enrollment ID: O20070625000088 |
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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. Mitchell Wade Sutter 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 |
Mitchell Wade Sutter, DC 156 County Road 313, Taylor, MO 63471-2056 Ph: (217) 430-4476 | Mitchell Wade Sutter, DC 156 County Road 313, Taylor, MO 63471-2056 Ph: (217) 430-4476 |
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