Mrs Raven Harley Mitchell, NP in Charleston, SC

Mrs Raven Harley Mitchell, NP is a medicare enrolled "Nurse Practitioner - Family" in Charleston, South Carolina. Her current practice location is 2566 Ashley River Rd, Charleston, South Carolina. You can reach out to her office (for appointments etc.) via phone at (866) 389-2727.

Mrs Raven Harley Mitchell is licensed to practice in South Carolina (license number 23972) 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 1285187666.

Contact Information

	Mrs Raven Harley Mitchell, NP
	2566 Ashley River Rd, Charleston, SC 29414-4605
	(866) 389-2727
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Raven Harley Mitchell
Gender	Female
Speciality	Nurse Practitioner - Family
Location	2566 Ashley River Rd, Charleston, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1285187666
Provider Enumeration Date: 08/02/2016
Last Update Date: 08/12/2020

Medicare PECOS Information:

PECOS PAC ID: 7618381278
Enrollment ID: I20210122002032

Medical Identifiers

Medical identifiers for Mrs Raven Harley Mitchell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285187666	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	23972 (South Carolina)	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. Mrs Raven Harley Mitchell allows following entities to bill medicare on her behalf.

Entity Name	Signify Health Medical Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20191209002986

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. Mrs Raven Harley 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
Mrs Raven Harley Mitchell, NP 2566 Ashley River Rd, Charleston, SC 29414-4605 Ph: (866) 389-2727	Mrs Raven Harley Mitchell, NP 2566 Ashley River Rd, Charleston, SC 29414-4605 Ph: (866) 389-2727

Reviews and Comments

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Marsha Susan Voges, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4115 Dorchester Road, Concentra Medical Center, Charleston, SC 29405 Phone: 843-554-6737 Fax: 843-554-3356
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Lindsey Hendrickson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414
Mrs. Erin Kosak, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 109 Wappoo Creek Dr, Charleston, SC 29412 Phone: 843-796-7171 Fax: 843-795-7171

Mrs Raven Harley Mitchell, NP - Medicare Nurse Practitioner in Charleston, SC