Mrs Michelle Leigh Endicott, DO - Medicare Dermatology in South Charleston, WV

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Mrs Michelle Leigh Endicott, DO is a medicare enrolled "Dermatology" physician in South Charleston, West Virginia. She went to West Virginia School Of Osteopathic Medicine and graduated in 2001 and has 23 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Mountain State Medical Specialties Pllc and her current practice location is 4815 Kanawha Ave Sw, South Charleston, West Virginia. You can reach out to her office (for appointments etc.) via phone at (304) 768-4567.

Mrs Michelle Leigh Endicott is licensed to practice in West Virginia (license number 2097) 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 1699774315.

Contact Information

Mrs Michelle Leigh Endicott, DO
4815 Kanawha Ave Sw,
South Charleston, WV 25309-1207
(304) 768-4567
(304) 768-2277

Map and Direction




Physician's Profile

Full NameMrs Michelle Leigh Endicott
GenderFemale
SpecialityDermatology
Experience23 Years
Location4815 Kanawha Ave Sw, South Charleston, West Virginia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Michelle Leigh Endicott attended and graduated from West Virginia School Of Osteopathic Medicine in 2001
  NPI Data:
  • NPI Number: 1699774315
  • Provider Enumeration Date: 07/14/2005
  • Last Update Date: 09/11/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 2769410497
  • Enrollment ID: I20050805000839

Medical Identifiers

Medical identifiers for Mrs Michelle Leigh Endicott such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1699774315NPI-NPPES
3810002529MedicaidWV

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology 2097 (West Virginia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Thomas Memorial HospitalSouth charleston, WVHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mountain State Medical Specialties Pllc933504675432

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 Michelle Leigh Endicott allows following entities to bill medicare on her behalf.
Entity NameMountain State Medical Specialties Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891892097
PECOS PAC ID: 9335046754
Enrollment ID: O20040308000599

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 Michelle Leigh Endicott 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 AddressPractice Location Address
Mrs Michelle Leigh Endicott, DO
4815 Kanawha Ave Sw,
South Charleston, WV 25309-1207

Ph: (304) 768-4567		Mrs Michelle Leigh Endicott, DO
4815 Kanawha Ave Sw,
South Charleston, WV 25309-1207

Ph: (304) 768-4567

Reviews and Comments


Dermatology Doctors in South Charleston, WV

Gregory T. Lagos, DO
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 607 Chestnut Street, South Charleston, WV 25309
Phone: 304-766-9136    Fax: 304-766-9139
Dr. Todd Vincent Kreitzer, D.O.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 4815 Kanawha Ave Sw, South Charleston, WV 25309
Phone: 304-768-4567    Fax: 304-768-2277

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.