Mr Mitchell Lee Carter, FNP in Lebanon, IN - Medicare Nurse Practitioner

Mr Mitchell Lee Carter, FNP is a medicare enrolled "Hospitalist" in Lebanon, Indiana. He graduated from nursing school in 2009 and has 15 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Witham Memorial Hospital and his current practice location is 2605 N Lebanon St, Lebanon, Indiana. You can reach out to his office (for appointments etc.) via phone at (765) 485-8000.

Mr Mitchell Lee Carter is licensed to practice in Indiana (license number 71003214A) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1104156801.

Contact Information

	Mr Mitchell Lee Carter, FNP
	2605 N Lebanon St, Lebanon, IN 46052-1476
	(765) 485-8000
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Mitchell Lee Carter
Gender	Male
Speciality	Nurse Practitioner
Experience	15 Years
Location	2605 N Lebanon St, Lebanon, Indiana
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Mitchell Lee Carter graduated from nursing school in 2009

NPI Data:

NPI Number: 1104156801
Provider Enumeration Date: 01/04/2010
Last Update Date: 10/12/2021

Medicare PECOS Information:

PECOS PAC ID: 5395982672
Enrollment ID: I20130503000381

Medical Identifiers

Medical identifiers for Mr Mitchell Lee Carter such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104156801	NPI	-	NPPES
201148500	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	71003214A (Indiana)	Secondary
363LF0000X	Nurse Practitioner - Family	28158256A (Indiana)	Secondary
208M00000X	Hospitalist	71003214A (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Witham Health Services	Lebanon, IN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Witham Memorial Hospital	4082523170	93

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. Mr Mitchell Lee Carter allows following entities to bill medicare on his behalf.

Entity Name	Witham Memorial Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083750293 PECOS PAC ID: 4082523170 Enrollment ID: O20040519001402

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. Mr Mitchell Lee Carter 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
Mr Mitchell Lee Carter, FNP 2605 N Lebanon St, Lebanon, IN 46052-1476 Ph: () -	Mr Mitchell Lee Carter, FNP 2605 N Lebanon St, Lebanon, IN 46052-1476 Ph: (765) 485-8000

Mr Mitchell Lee Carter, FNP - Medicare Nurse Practitioner in Lebanon, IN