Mind And Soul is a medicare enrolled mental health clinic (Nurse Practitioner - Adult Health) in Jacksonville, Vermont. The current practice location for Mind And Soul is 2948 Vt Route 100, Jacksonville, Vermont. For appointments, you can reach them via phone at (802) 435-0616. The mailing address for Mind And Soul is Po Box 576, Jacksonville, Vermont and phone number is (508) 637-1604.
Mind And Soul is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1124250352. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (802) 435-0616.
Yes. This clinic participates in medicare program and accept medicare insurance.
Mailing Address and Practice Location
Mailing Address
Practice Location Address
Mind And Soul Po Box 576 Jacksonville VT 05342-0576 Ph: (508) 637-1604
Mind And Soul 2948 Vt Route 100 Jacksonville VT 05342-9510 Ph: (802) 435-0616
NPI Details:
NPI Number
1124250352
Provider Enumeration Date
08/21/2009
Last Update Date
08/23/2022
Certification Date
08/23/2022
Medicare PECOS Information:
Medicare PECOS PAC ID
3779621040
Medicare Enrollment ID
O20091105000552
Medical Identifiers
Medical identifiers for Mind And Soul such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier
Type
State
Issuer
1124250352
NPI
-
NPPES
Medical Taxonomies and Licenses
Taxonomy
Type
License (State)
Status
103TP0016X
Psychologist - Prescribing (medical)
(* (Not Available))
Secondary
261QH0100X
Clinic/center - Health Service
273780 (Massachusetts)
Secondary
261QM0801X
Clinic/center - Mental Health (including Community Mental Health Center)
(* (Not Available))
Secondary
363LA2200X
Nurse Practitioner - Adult Health
(* (Not Available))
Primary
363LP0808X
Nurse Practitioner - Psychiatric/mental Health
(* (Not Available))
Secondary
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Mind And Soul acts as a billing entity for following providers: