Jacob Mills, is a medicare enrolled "Psychologist" provider in Dawes, West Virginia. His current practice location is
5722 Cabin Creek Rd, Dawes, West Virginia. You can reach out to his office (for appointments etc.) via phone at
(304) 595-5006.
Jacob Mills is licensed to practice in * (Not Available) (license number ) 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 1609486596.
Healthcare Provider's Profile
| Full Name | Jacob Mills |
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| Gender | Male |
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| Speciality | Psychologist |
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| Location | 5722 Cabin Creek Rd, Dawes, 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. |
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NPI Data:
- NPI Number: 1609486596
- Provider Enumeration Date: 08/05/2020
- Last Update Date: 10/08/2021
Medicare PECOS Information:
- PECOS PAC ID: 5799139879
- Enrollment ID: I20230922001637
Medical Identifiers
Medical identifiers for Jacob Mills such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1609486596 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TH0004X | Psychologist - Health | (* (Not Available)) | Secondary |
| 103TH0100X | Psychologist - Health Service | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | (* (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. Jacob Mills allows following entities to bill medicare on his behalf.
| Entity Name | Cabin Creek Health Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1366495525
PECOS PAC ID: 2466431101
Enrollment ID: O20130905000096 |
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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. Jacob Mills 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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Jacob Mills,
104 Alex Ln,
Charleston, WV 25304-2952
Ph: () - | Jacob Mills,
5722 Cabin Creek Rd,
Dawes, WV 25054-7700
Ph: (304) 595-5006 |
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