Mitchell Tarver, LCSW is a medicare enrolled "Counselor - Addiction (substance Use Disorder)" provider in Bremen, Alabama. His current practice location is
205 County Road 134, Bremen, Alabama. You can reach out to his office (for appointments etc.) via phone at
(205) 876-6028.
Mitchell Tarver is licensed to practice in Alabama (license number 3601C) 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 1679972111.
Healthcare Provider's Profile
| Full Name | Mitchell Tarver |
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| Gender | Male |
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| Speciality | Counselor - Addiction (substance Use Disorder) |
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| Location | 205 County Road 134, Bremen, Alabama |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1679972111
- Provider Enumeration Date: 08/21/2014
- Last Update Date: 02/15/2022
Medicare PECOS Information:
- PECOS PAC ID: 2567683758
- Enrollment ID: I20220708002158
Medical Identifiers
Medical identifiers for Mitchell Tarver such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1679972111 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 3601C (Alabama) | 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. Mitchell Tarver allows following entities to bill medicare on his behalf.
| Entity Name | Thrive Counseling Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1215181300
PECOS PAC ID: 0749458420
Enrollment ID: O20171025002417 |
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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 Tarver 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 |
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Mitchell Tarver, LCSW
205 County Road 134,
Bremen, AL 35033-3061
Ph: (205) 876-6028 | Mitchell Tarver, LCSW
205 County Road 134,
Bremen, AL 35033-3061
Ph: (205) 876-6028 |
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