Wister Mitchelson, is a medicare enrolled "Counselor - Professional" provider in Stanardsville, Virginia. His current practice location is
9968 Spotswood Trail, Stanardsville, Virginia. You can reach out to his office (for appointments etc.) via phone at
(434) 962-9622.
Wister Mitchelson is licensed to practice in Virginia (license number 0701010642) 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 1659046720.
Healthcare Provider's Profile
Full Name | Wister Mitchelson |
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Gender | Male |
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Speciality | Counselor - Professional |
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Location | 9968 Spotswood Trail, Stanardsville, Virginia |
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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: 1659046720
- Provider Enumeration Date: 08/11/2021
- Last Update Date: 08/11/2021
Medicare PECOS Information:
- PECOS PAC ID: 4880047570
- Enrollment ID: I20240130000663
Medical Identifiers
Medical identifiers for Wister Mitchelson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1659046720 | NPI | - | NPPES |
0701010642 | Medicaid | VA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | 0701010642 (Virginia) | 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. Wister Mitchelson 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. Wister Mitchelson 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 |
Wister Mitchelson, 9968 Spotswood Trail, Stanardsville, VA 22973 Ph: (434) 962-9622 | Wister Mitchelson, 9968 Spotswood Trail, Stanardsville, VA 22973-2297 Ph: (434) 962-9622 |
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