Krystin Mitch, is a medicare enrolled "Social Worker - Clinical" provider in Harrison Township, Michigan. Her current practice location is
38351 Hazel St, Harrison Township, Michigan. You can reach out to her office (for appointments etc.) via phone at
(586) 630-9675.
Krystin Mitch is licensed to practice in Michigan (license number 6801104157) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1295503795.
Healthcare Provider's Profile
Full Name | Krystin Mitch |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 38351 Hazel St, Harrison Township, Michigan |
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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: 1295503795
- Provider Enumeration Date: 12/13/2023
- Last Update Date: 12/13/2023
Medicare PECOS Information:
- PECOS PAC ID: 1658813175
- Enrollment ID: I20240611003880
Medical Identifiers
Medical identifiers for Krystin Mitch such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1295503795 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 6801104157 (Michigan) | 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. Krystin Mitch allows following entities to bill medicare on her behalf.
Entity Name | Lakeside Professional Counseling Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1073084083 PECOS PAC ID: 8729483078 Enrollment ID: O20210824003131 |
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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. Krystin Mitch 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 |
Krystin Mitch, 38351 Hazel St, Harrison Township, MI 48045-3566 Ph: (586) 630-9675 | Krystin Mitch, 38351 Hazel St, Harrison Township, MI 48045-3566 Ph: (586) 630-9675 |
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