Misty Brooke Rummage, LMHC is a medicare enrolled "Counselor - Mental Health" provider in Port St Lucie, Florida. Her current practice location is
590 Nw Peacock Blvd Ste 10, Port St Lucie, Florida. You can reach out to her office (for appointments etc.) via phone at
(772) 361-6767.
Misty Brooke Rummage is licensed to practice in Florida (license number MH15388) 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 1316456387.
Healthcare Provider's Profile
Full Name | Misty Brooke Rummage |
---|
Gender | Female |
---|
Speciality | Counselor - Mental Health |
---|
Location | 590 Nw Peacock Blvd Ste 10, Port St Lucie, Florida |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1316456387
- Provider Enumeration Date: 09/21/2017
- Last Update Date: 09/14/2022
Medicare PECOS Information:
- PECOS PAC ID: 5991238669
- Enrollment ID: I20241102000036
Medical Identifiers
Medical identifiers for Misty Brooke Rummage such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1316456387 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | MH15388 (Florida) | Secondary |
101YM0800X | Counselor - Mental Health | MH15388 (Florida) | 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. Misty Brooke Rummage allows following entities to bill medicare on her behalf.
Entity Name | Direct Access Counseling & Supportive Services Llc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1679011449 PECOS PAC ID: 3971878398 Enrollment ID: O20171010002520 |
---|
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. Misty Brooke Rummage 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 |
Misty Brooke Rummage, LMHC 4740 N State Road 7, Lauderdale Lakes, FL 33319-5839 Ph: (954) 486-4005 | Misty Brooke Rummage, LMHC 590 Nw Peacock Blvd Ste 10, Port St Lucie, FL 34986-2213 Ph: (772) 361-6767 |
Reviews and Comments