Mr Preston Jude Middleton, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Prestonsburg, Kentucky. He graduated from healthcare school in 2020 and has 6 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Mountain Comprehensive Care Center Inc and his current practice location is
104 S Front Ave, Prestonsburg, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(606) 886-8572.
Mr Preston Jude Middleton is licensed to practice in Kentucky (license number 257831) 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 1962049171.
Healthcare Provider's Profile
| Full Name | Mr Preston Jude Middleton |
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| Gender | Male |
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| Speciality | Clinical Social Worker |
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| Experience | 6 Years |
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| Location | 104 S Front Ave, Prestonsburg, Kentucky |
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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 Preston Jude Middleton graduated from medical school in 2020
NPI Data:
- NPI Number: 1962049171
- Provider Enumeration Date: 12/06/2019
- Last Update Date: 04/20/2023
Medicare PECOS Information:
- PECOS PAC ID: 1850756735
- Enrollment ID: I20230427002638
Medical Identifiers
Medical identifiers for Mr Preston Jude Middleton such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1962049171 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101Y00000X | Counselor | 9186 (Kentucky) | Secondary |
| 1041C0700X | Social Worker - Clinical | 257831 (Kentucky) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Mountain Comprehensive Care Center Inc | 5294720553 | 80 |
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 Preston Jude Middleton allows following entities to bill medicare on his behalf.
| Entity Name | Mountain Comprehensive Care Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1760491674
PECOS PAC ID: 5294720553
Enrollment ID: O20040416000380 |
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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 Preston Jude Middleton 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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Mr Preston Jude Middleton, LCSW
829 E Byers Ave,
Owensboro, KY 42303-8820
Ph: (270) 314-7851 | Mr Preston Jude Middleton, LCSW
104 S Front Ave,
Prestonsburg, KY 41653-1614
Ph: (606) 886-8572 |
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