Corey Joseph Mitscher, CAA is a medicare enrolled "Anesthesiologist Assistant" physician in Avon, Indiana. His current practice location is
1111 Ronald Reagan Pkwy, Avon, Indiana. You can reach out to his office (for appointments etc.) via phone at
(317) 217-3000.
Corey Joseph Mitscher is licensed to practice in Indiana (license number 75000123A) 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 1982319505.
Physician's Profile
Full Name | Corey Joseph Mitscher |
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Gender | Male |
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Speciality | Anesthesiologist Assistant |
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Location | 1111 Ronald Reagan Pkwy, Avon, Indiana |
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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: 1982319505
- Provider Enumeration Date: 01/18/2023
- Last Update Date: 02/15/2024
Medicare PECOS Information:
- PECOS PAC ID: 9335511930
- Enrollment ID: I20230208000836
Medical Identifiers
Medical identifiers for Corey Joseph Mitscher such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1982319505 | NPI | - | NPPES |
264430G84 | Other | IN | MEDICARE PTAN |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207L00000X | Anesthesiology | 75000123A (Indiana) | Secondary |
367H00000X | Anesthesiologist Assistant | 75000123A (Indiana) | 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. Corey Joseph Mitscher allows following entities to bill medicare on his behalf.
Entity Name | Iu Anesthesiology Associates, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1285684407 PECOS PAC ID: 5395730303 Enrollment ID: O20040419001228 |
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Entity Name | Indiana University Health Care Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1902032832 PECOS PAC ID: 5799755864 Enrollment ID: O20040727000955 |
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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. Corey Joseph Mitscher 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 |
Corey Joseph Mitscher, CAA 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () - | Corey Joseph Mitscher, CAA 1111 Ronald Reagan Pkwy, Avon, IN 46123-7085 Ph: (317) 217-3000 |
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