Dr Deidra Fawn Muto, MD in Charleston, WV

Dr Deidra Fawn Muto, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Charleston, West Virginia. Her current practice location is 219 Georgetown Pl, Charleston, West Virginia. You can reach out to her office (for appointments etc.) via phone at (304) 543-2663.

Dr Deidra Fawn Muto is licensed to practice in West Virginia (license number 21489) 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 1609164227.

Contact Information

	Dr Deidra Fawn Muto, MD
	219 Georgetown Pl, Charleston, WV 25314-1871
	(304) 543-2663
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Deidra Fawn Muto
Gender	Female
Speciality	Pathology - Anatomic Pathology & Clinical Pathology
Location	219 Georgetown Pl, Charleston, West Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1609164227
Provider Enumeration Date: 07/17/2011
Last Update Date: 07/17/2011

Medicare PECOS Information:

PECOS PAC ID: 0840266474
Enrollment ID: I20040907000070

Medical Identifiers

Medical identifiers for Dr Deidra Fawn Muto such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609164227	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207ZP0102X	Pathology - Anatomic Pathology & Clinical Pathology	21489 (West Virginia)	Primary
207ZP0102X	Pathology - Anatomic Pathology & Clinical Pathology	21492 (South Carolina)	Secondary

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. Dr Deidra Fawn Muto allows following entities to bill medicare on her behalf.

Entity Name	Ths Physician Partners Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871866806 PECOS PAC ID: 9537316393 Enrollment ID: O20120829000738

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. Dr Deidra Fawn Muto 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
Dr Deidra Fawn Muto, MD 219 Georgetown Pl, Charleston, WV 25314-1871 Ph: () -	Dr Deidra Fawn Muto, MD 219 Georgetown Pl, Charleston, WV 25314-1871 Ph: (304) 543-2663

Reviews and Comments

Pathology Doctors in Charleston, WV

Dr. Oscar Cinco Estalilla, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 3200 Maccorkle Avenue Se, Pathology Department, Charleston, WV 25304 Phone: 304-388-5550 Fax: 304-388-4352
David A. Hansen, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 3200 Maccorkle Avenue Se, Pathology Department, Charleston, WV 25304 Phone: 304-388-5550 Fax: 304-388-4352
Dr. Zachary Grimes, DO Pathology Medicare: Accepting Medicare Assignments Practice Location: 3200 Maccorkle Ave Se, Charleston, WV 25304 Phone: 304-388-5550
Dr. Robert Matthew Mccoy, MD Pathology Medicare: Medicare Enrolled Practice Location: 3200 Maccorkle Ave Se, Charleston, WV 25304 Phone: 304-388-5550 Fax: 304-388-4352
Mark G Inman, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 3200 Maccorkle Avenue Se, Pathology Department, Charleston, WV 25304 Phone: 304-388-5550 Fax: 304-388-4352
Phyllis R. Sawyer, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 3200 Maccorkle Avenue Se, Pathology Department, Charleston, WV 25304 Phone: 304-388-5550 Fax: 304-388-4352
Dr. Andrew Milton Plata, MD Pathology Medicare: Medicare Enrolled Practice Location: 3200 Maccorkle Ave Se, Charleston, WV 25304 Phone: 304-388-5550

Dr Deidra Fawn Muto, MD - Medicare Pathology in Charleston, WV