Mr Bruce Charles Wyman, LPC, EDM, NCC is a medicare enrolled "Counselor - Professional" provider in Rixeyville, Virginia. He went to State University Of New York At Buffalo School Of Medicine and graduated in 1982 and has 43 years of diverse experience with area of expertise as Mental Health Counselor. His current practice location is
10391 Greyson Ln, Rixeyville, Virginia. You can reach out to his office (for appointments etc.) via phone at
(540) 937-4923.
Mr Bruce Charles Wyman is licensed to practice in Virginia (license number 0701003919) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1821109331.
Healthcare Provider's Profile
| Full Name | Mr Bruce Charles Wyman |
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| Gender | Male |
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| Speciality | Mental Health Counselor |
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| Experience | 43 Years |
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| Location | 10391 Greyson Ln, Rixeyville, Virginia |
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| Accepts Medicare Assignments | Yes. He 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:
- Mr Bruce Charles Wyman attended and graduated from State University Of New York At Buffalo School Of Medicine in 1982
NPI Data:
- NPI Number: 1821109331
- Provider Enumeration Date: 08/31/2006
- Last Update Date: 03/13/2014
Medicare PECOS Information:
- PECOS PAC ID: 3870937931
- Enrollment ID: I20240327002735
Medical Identifiers
Medical identifiers for Mr Bruce Charles Wyman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1821109331 | NPI | - | NPPES |
| 4435897 | Other | VA | CIGNA BEHAVIORAL |
| AS43-0001 | Other | VA | CAREFIRST BLUECROSS BLUESHIELD |
| 010375703 | Medicaid | VA | |
| 11654016 | Other | VA | CAQH |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 0701003919 (Virginia) | Secondary |
| 101YP2500X | Counselor - Professional | 0701003919 (Virginia) | Primary |
| 106H00000X | Marriage & Family Therapist | 0701003919 (Virginia) | Secondary |
| 101YS0200X | Counselor - School | 0701003919 (Virginia) | Secondary |
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. Mr Bruce Charles Wyman allows following entities to bill medicare on his behalf.
| Entity Name | Evergreen Behavioral Health Services Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073879177
PECOS PAC ID: 2961846027
Enrollment ID: O20240327002602 |
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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. Mr Bruce Charles Wyman 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 |
|---|
Mr Bruce Charles Wyman, LPC, EDM, NCC
Po Box 373,
Rixeyville, VA 22737-0373
Ph: (540) 937-4923 | Mr Bruce Charles Wyman, LPC, EDM, NCC
10391 Greyson Ln,
Rixeyville, VA 22737-1730
Ph: (540) 937-4923 |
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