Gwen E Mitchell, in Moscow, ID - Medicare Psychologist Provider

Gwen E Mitchell, is a medicare enrolled "Psychologist - School" provider in Moscow, Idaho. Her current practice location is 129 W 3rd St, Moscow, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 885-3588.

Gwen E Mitchell is licensed to practice in * (Not Available) (license number ) 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 1508989237.

Contact Information

	Gwen E Mitchell,
	129 W 3rd St, Moscow, ID 83843-2268
	(208) 885-3588
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Gwen E Mitchell
Gender	Female
Speciality	Psychologist - School
Location	129 W 3rd St, Moscow, Idaho
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508989237
Provider Enumeration Date: 04/09/2007
Last Update Date: 07/19/2024

Medicare PECOS Information:

PECOS PAC ID: 2466829734
Enrollment ID: I20221031001963

Medical Identifiers

Medical identifiers for Gwen E Mitchell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508989237	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TS0200X	Psychologist - School	(* (Not Available))	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. Gwen E Mitchell allows following entities to bill medicare on her behalf.

Entity Name	Gritman Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619988144 PECOS PAC ID: 8729070164 Enrollment ID: O20040402001021

Entity Name	Gritman Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538634522 PECOS PAC ID: 0941545784 Enrollment ID: O20181221002296

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. Gwen E 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
Gwen E Mitchell, 420 Summit Rd, Moscow, ID 83843-9651 Ph: () -	Gwen E Mitchell, 129 W 3rd St, Moscow, ID 83843-2268 Ph: (208) 885-3588

Reviews and Comments

Psychologist in Moscow, ID

Dr. Priscilla D. Hernandez Hacker, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 828 S Washington St Ste A, Moscow, ID 83843 Phone: 208-883-7766 Fax: 208-883-8062
Dr. Nancy Sasse Sasser, ED.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1060 Showalter Rd, Moscow, ID 83843 Phone: 208-301-0918 Fax: 208-882-1490
Dr. Maria Amy Gartstein, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2301 West A St, Suite C, Moscow, ID 83843 Phone: 208-883-1144
Dr. Alan J. Whitlock, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 814 S Washington St, Moscow, ID 83843 Phone: 208-883-4026
Dr. Mark Francis Yama, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: Psychology And Comm Studies, University Of Idaho, Moscow, ID 83844 Phone: 208-885-7376 Fax: 208-885-7710
Dr. Timothy Scott Rehnberg, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2301 W A St, Suite C, Moscow, ID 83843 Phone: 208-883-1144 Fax: 208-883-8062
Dr. Brian William Mcneill, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 619 S Washington, Suite 301 Brian Mcneill Phd, Moscow, ID 83843 Phone: 509-336-9045 Fax: 708-892-0681

Gwen E Mitchell, - Medicare Psychologist in Moscow, ID