Charles Randel Bugh, is a medicare enrolled "Counselor - Mental Health" provider in Mitchell, Indiana. His current practice location is
2759 State Road 37, Mitchell, Indiana. You can reach out to his office (for appointments etc.) via phone at
(812) 992-5440.
Charles Randel Bugh is licensed to practice in Indiana (license number 39000805A) 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 1073788758.
Healthcare Provider's Profile
Full Name | Charles Randel Bugh |
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Gender | Male |
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Speciality | Counselor - Mental Health |
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Location | 2759 State Road 37, Mitchell, Indiana |
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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: 1073788758
- Provider Enumeration Date: 04/24/2008
- Last Update Date: 02/19/2025
Medicare PECOS Information:
- PECOS PAC ID: 7012357726
- Enrollment ID: I20240429001933
Medical Identifiers
Medical identifiers for Charles Randel Bugh such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1073788758 | NPI | - | NPPES |
072460 | Other | IN | SIHO PIN |
39000805A | Other | IN | MENTAL HEALTH COUNSELOR LICENSE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 39000805A (Indiana) | 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. Charles Randel Bugh allows following entities to bill medicare on his behalf.
Entity Name | Southern Indiana Community Health Care Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1427171057 PECOS PAC ID: 5799694360 Enrollment ID: O20040525000541 |
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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. Charles Randel Bugh 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 |
Charles Randel Bugh, 2759 State Road 37, Mitchell, IN 47446-6016 Ph: (812) 992-5440 | Charles Randel Bugh, 2759 State Road 37, Mitchell, IN 47446-6016 Ph: (812) 992-5440 |
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