Mrs Wanda Hale Schubarth, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Hurlburt Fld, Florida. Her current practice location is
113 Lielmanis Ave, Hurlburt Fld, Florida. You can reach out to her office (for appointments etc.) via phone at
(850) 428-3618.
Mrs Wanda Hale Schubarth is licensed to practice in Kentucky (license number KY-0660) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1801099031.
Healthcare Provider's Profile
Full Name | Mrs Wanda Hale Schubarth |
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Gender | Female |
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Speciality | Marriage & Family Therapist |
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Location | 113 Lielmanis Ave, Hurlburt Fld, Florida |
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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: 1801099031
- Provider Enumeration Date: 06/06/2007
- Last Update Date: 04/09/2025
Medicare PECOS Information:
- PECOS PAC ID: 8729444930
- Enrollment ID: I20240130002584
Medical Identifiers
Medical identifiers for Mrs Wanda Hale Schubarth such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1801099031 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | MT5075 (Florida) | Secondary |
106H00000X | Marriage & Family Therapist | KY-0660 (Kentucky) | 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. Mrs Wanda Hale Schubarth allows following entities to bill medicare on her behalf.
Entity Name | Kentuckyone Health Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1104875970 PECOS PAC ID: 8820993702 Enrollment ID: O20031204000080 |
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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. Mrs Wanda Hale Schubarth 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 |
Mrs Wanda Hale Schubarth, LMFT 113 Lielmanis Ave, Hurlburt Fld, FL 32544-5613 Ph: (850) 428-3618 | Mrs Wanda Hale Schubarth, LMFT 113 Lielmanis Ave, Hurlburt Fld, FL 32544-5613 Ph: (850) 428-3618 |
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