Mia R Wessels, MD is a medicare enrolled "Dermatology" physician in Abingdon, Virginia. Her current practice location is
16000 Johnston Memorial Dr, Suite 101b, Abingdon, Virginia. You can reach out to her office (for appointments etc.) via phone at
(276) 258-1777.
Mia R Wessels is licensed to practice in Virginia (license number 0101040882) 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 1942288501.
Physician's Profile
| Full Name | Mia R Wessels |
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| Gender | Female |
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| Speciality | Dermatology |
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| Location | 16000 Johnston Memorial Dr, Abingdon, Virginia |
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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: 1942288501
- Provider Enumeration Date: 01/04/2006
- Last Update Date: 02/28/2017
Medicare PECOS Information:
- PECOS PAC ID: 6305019985
- Enrollment ID: I20111026000515
Medical Identifiers
Medical identifiers for Mia R Wessels such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1942288501 | NPI | - | NPPES |
| 005997445 | Medicaid | VA | |
| 039404 | Other | VA | ANTHEM |
| TN0101 | Other | | JOHN DEERE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207N00000X | Dermatology | 0101040882 (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. Mia R Wessels allows following entities to bill medicare on her behalf.
| Entity Name | Blue Ridge Medical Management Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1326159567
PECOS PAC ID: 9739099441
Enrollment ID: O20040715001336 |
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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. Mia R Wessels 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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Mia R Wessels, MD
16000 Johnston Memorial Dr, Suite 101b,
Abingdon, VA 24211-7664
Ph: (276) 258-1777 | Mia R Wessels, MD
16000 Johnston Memorial Dr, Suite 101b,
Abingdon, VA 24211-7664
Ph: (276) 258-1777 |
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