Ava W Mitchell, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Sipsey, Alabama. Her current practice location is
3805 Sipsey Rd. Sipsey, Sipsey, Alabama. You can reach out to her office (for appointments etc.) via phone at
(205) 529-0108.
Ava W Mitchell is licensed to practice in Alabama (license number 0340433) 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 1578750931.
Provider's Profile
Full Name | Ava W Mitchell |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 3805 Sipsey Rd. Sipsey, Sipsey, Alabama |
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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: 1578750931
- Provider Enumeration Date: 10/01/2007
- Last Update Date: 07/03/2024
Medicare PECOS Information:
- PECOS PAC ID: 4385935428
- Enrollment ID: I20160621002615
Medical Identifiers
Medical identifiers for Ava W Mitchell such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1578750931 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 0340433 (Alabama) | 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. Ava W Mitchell allows following entities to bill medicare on her behalf.
Entity Name | Whatley Health Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1063422756 PECOS PAC ID: 8224921705 Enrollment ID: O20040206000846 |
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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. Ava W Mitchell 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 |
Ava W Mitchell, CRNP 1463 Potomac Pl, Birmingham, AL 35214-3317 Ph: (205) 638-9107 | Ava W Mitchell, CRNP 3805 Sipsey Rd. Sipsey, Sipsey, AL 35584 Ph: (205) 529-0108 |
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