Mitchell Whalen, is a medicare enrolled "Nurse Practitioner - Family" in Darlington, Wisconsin. His current practice location is
731 Clay St, Darlington, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(608) 776-4497.
Mitchell Whalen is licensed to practice in Wisconsin (license number 14287-33) 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 1992486336.
Provider's Profile
| Full Name | Mitchell Whalen |
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| Gender | Male |
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| Speciality | Nurse Practitioner - Family |
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| Location | 731 Clay St, Darlington, Wisconsin |
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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: 1992486336
- Provider Enumeration Date: 07/27/2023
- Last Update Date: 07/27/2023
Medicare PECOS Information:
- PECOS PAC ID: 7618339078
- Enrollment ID: I20230816003192
Medical Identifiers
Medical identifiers for Mitchell Whalen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1992486336 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | 235849-30 (Wisconsin) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 14287-33 (Wisconsin) | 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. Mitchell Whalen allows following entities to bill medicare on his behalf.
| Entity Name | Lafayette County |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1114987054
PECOS PAC ID: 9436054772
Enrollment ID: O20031201000476 |
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| Entity Name | Lafayette County |
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| Entity Type | Part A Provider - Critical Access Hospital |
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| Entity Identifiers | NPI Number: 1114987054
PECOS PAC ID: 9436054772
Enrollment ID: O20061104000561 |
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| Entity Name | Lafayette County |
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| Entity Type | Part A Provider - Critical Access Hospital |
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| Entity Identifiers | NPI Number: 1689787954
PECOS PAC ID: 9436054772
Enrollment ID: O20120104000753 |
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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. Mitchell Whalen 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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Mitchell Whalen,
800 Clay St,
Darlington, WI 53530-1228
Ph: () - | Mitchell Whalen,
731 Clay St,
Darlington, WI 53530-1225
Ph: (608) 776-4497 |
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