Mr David Micheal Sapp, SLPE, LPC is a medicare enrolled "Psychologist" provider in Johnson City, Tennessee. Her current practice location is
109 W Watauga Ave, Johnson City, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(423) 232-2600.
Mr David Micheal Sapp is licensed to practice in Tennessee (license number 1322) 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 1639293004.
Healthcare Provider's Profile
| Full Name | Mr David Micheal Sapp |
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| Gender | Female |
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| Speciality | Psychologist |
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| Location | 109 W Watauga Ave, Johnson City, Tennessee |
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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: 1639293004
- Provider Enumeration Date: 03/19/2007
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 4688011430
- Enrollment ID: I20240328001678
Medical Identifiers
Medical identifiers for Mr David Micheal Sapp such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1639293004 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | 0532 (Tennessee) | Primary |
| 103T00000X | Psychologist | 1322 (Tennessee) | 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 David Micheal Sapp allows following entities to bill medicare on her behalf.
| Entity Name | Healthy Mind Counseling Services, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1457409898
PECOS PAC ID: 8325093081
Enrollment ID: O20070827000096 |
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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 David Micheal Sapp 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 David Micheal Sapp, SLPE, LPC
Po Box 9054,
Gray, TN 37615-9054
Ph: (423) 467-3600 | Mr David Micheal Sapp, SLPE, LPC
109 W Watauga Ave,
Johnson City, TN 37604-5621
Ph: (423) 232-2600 |
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