Mishelle Bugtai Cubcuban, is a medicare enrolled "Physical Therapist" provider in Danville, West Virginia. Her current practice location is
298 Tricorn Rd, Danville, West Virginia. You can reach out to her office (for appointments etc.) via phone at
(304) 369-1385.
Mishelle Bugtai Cubcuban is licensed to practice in West Virginia (license number 003929) 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 1447972559.
Healthcare Provider's Profile
Full Name | Mishelle Bugtai Cubcuban |
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Gender | Female |
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Speciality | Physical Therapist |
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Location | 298 Tricorn Rd, Danville, West Virginia |
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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: 1447972559
- Provider Enumeration Date: 09/15/2022
- Last Update Date: 09/15/2022
Medicare PECOS Information:
- PECOS PAC ID: 2769827633
- Enrollment ID: I20240301000717
Medical Identifiers
Medical identifiers for Mishelle Bugtai Cubcuban such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1447972559 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | 003929 (West Virginia) | 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. Mishelle Bugtai Cubcuban allows following entities to bill medicare on her behalf.
Provider Name | Virginia Luna Care Physical Therapy Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1235720848 PECOS PAC ID: 0941615405 Enrollment ID: O20210319000961 |
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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. Mishelle Bugtai Cubcuban 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 |
Mishelle Bugtai Cubcuban, 20 Bear Oak Ln Unit 1, Charleston, WV 25306-6390 Ph: (304) 601-8050 | Mishelle Bugtai Cubcuban, 298 Tricorn Rd, Danville, WV 25053-7148 Ph: (304) 369-1385 |
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