Dr Mitsi A Faubion, DO is a medicare enrolled "Family Medicine" physician in Clayton, Oklahoma. She went to Oklahoma State University College Of Osteopathic Medicine and graduated in 2000 and has 26 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice South Central Medical And Resource Center Inc, South Central Medical And Resource Center Inc and her current practice location is
109 Stanley Rd, Clayton, Oklahoma. You can reach out to her office (for appointments etc.) via phone at
(918) 569-4143.
Dr Mitsi A Faubion is licensed to practice in Oklahoma (license number 4294) 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 1063408656.
Physician's Profile
| Full Name | Dr Mitsi A Faubion |
|---|
| Gender | Female |
|---|
| Speciality | Family Practice |
|---|
| Experience | 26 Years |
|---|
| Location | 109 Stanley Rd, Clayton, Oklahoma |
|---|
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Mitsi A Faubion attended and graduated from Oklahoma State University College Of Osteopathic Medicine in 2000
NPI Data:
- NPI Number: 1063408656
- Provider Enumeration Date: 09/20/2005
- Last Update Date: 10/18/2016
Medicare PECOS Information:
- PECOS PAC ID: 2860421088
- Enrollment ID: I20161102000156
Medical Identifiers
Medical identifiers for Dr Mitsi A Faubion such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1063408656 | NPI | - | NPPES |
| 200072150B | Medicaid | OK | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Q00000X | Family Medicine | 4294 (Oklahoma) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| South Central Medical And Resource Center Inc | 9032200084 | 15 |
| South Central Medical And Resource Center Inc | 9032200084 | 15 |
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. Dr Mitsi A Faubion allows following entities to bill medicare on her behalf.
| Entity Name | Signify Health Medical Associates Pllc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20191127000899 |
|---|
| Entity Name | Signify Health Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210505002298 |
|---|
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. Dr Mitsi A Faubion 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 |
Dr Mitsi A Faubion, DO Po Box 67, Milburn, OK 73450-0067 Ph: (580) 443-3533 | Dr Mitsi A Faubion, DO 109 Stanley Rd, Clayton, OK 74536-0219 Ph: (918) 569-4143 |
Reviews and Comments