Krystin Mitch, is a medicare enrolled "Social Worker - Clinical" provider in Harrison Township, Michigan. She went to Wayne State University School Of Medicine and graduated in 2012 and has 14 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Lakeside Professional Counseling Pc and her current practice location is
38351 Hazel St, Harrison Township, Michigan. You can reach out to her office (for appointments etc.) via phone at
(586) 630-9675.
Krystin Mitch is licensed to practice in Michigan (license number 6801104157) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1295503795.
Healthcare Provider's Profile
| Full Name | Krystin Mitch |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 14 Years |
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| Location | 38351 Hazel St, Harrison Township, Michigan |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Krystin Mitch attended and graduated from Wayne State University School Of Medicine in 2012
NPI Data:
- NPI Number: 1295503795
- Provider Enumeration Date: 12/13/2023
- Last Update Date: 12/13/2023
Medicare PECOS Information:
- PECOS PAC ID: 1658813175
- Enrollment ID: I20240611003880
Medical Identifiers
Medical identifiers for Krystin Mitch such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1295503795 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1041C0700X | Social Worker - Clinical | 6801104157 (Michigan) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Lakeside Professional Counseling Pc | 8729483078 | 8 |
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. Krystin Mitch allows following entities to bill medicare on her behalf.
| Entity Name | Lakeside Professional Counseling Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073084083
PECOS PAC ID: 8729483078
Enrollment ID: O20210824003131 |
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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. Krystin Mitch 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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Krystin Mitch,
38351 Hazel St,
Harrison Township, MI 48045-3566
Ph: (586) 630-9675 | Krystin Mitch,
38351 Hazel St,
Harrison Township, MI 48045-3566
Ph: (586) 630-9675 |
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