Mitchell Haverstuhl, DNAP in Charleston, SC - Medicare Nurse Anesthetist, Certified Registered

Mitchell Haverstuhl, DNAP is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Charleston, South Carolina. His current practice location is 9263 Medical Plaza Dr Ste E, Charleston, South Carolina. You can reach out to his office (for appointments etc.) via phone at (843) 572-1228.

Mitchell Haverstuhl is licensed to practice in South Carolina (license number 148290) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1629759469.

Contact Information

	Mitchell Haverstuhl, DNAP
	9263 Medical Plaza Dr Ste E, Charleston, SC 29406-7112
	(843) 572-1228
	Not Available

Map and Direction

Provider's Profile

Full Name	Mitchell Haverstuhl
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	9263 Medical Plaza Dr Ste E, Charleston, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629759469
Provider Enumeration Date: 07/25/2023
Last Update Date: 05/20/2024

Medicare PECOS Information:

PECOS PAC ID: 5991238404
Enrollment ID: I20241022005448

Medical Identifiers

Medical identifiers for Mitchell Haverstuhl such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629759469	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	239047 (Indiana)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	148290 (South Carolina)	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. Mitchell Haverstuhl allows following entities to bill medicare on his behalf.

Entity Name	Coastal Anesthesia Associates Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942252176 PECOS PAC ID: 9032022744 Enrollment ID: O20031110000173

Entity Name	Trident Anesthesia Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376595520 PECOS PAC ID: 5294631545 Enrollment ID: O20031209000391

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. Mitchell Haverstuhl 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
Mitchell Haverstuhl, DNAP 1617 Dotterers Run, Charleston, SC 29414-5820 Ph: (219) 393-0469	Mitchell Haverstuhl, DNAP 9263 Medical Plaza Dr Ste E, Charleston, SC 29406-7112 Ph: (843) 572-1228

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Charleston, SC

Christopher Arnold Hensley, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414
Rebecca Leeann Jordan, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 803-920-7547
Linda G Dancy, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414
Sallie B Beam, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 9263 Medical Plaza Dr, Ste E, Charleston, SC 29406 Phone: 843-572-1228 Fax: 877-561-7564
Ginger L Brister, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2095 Henry Tecklenburg Dr, Charleston, SC 29414 Phone: 843-876-5746
Mrs. Tammie Ann Stahl, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2095 Henry Tecklenburg Dr, Charleston, SC 29414 Phone: 843-402-1436 Fax: 843-402-1833
Helen E Harman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414

Mitchell Haverstuhl, DNAP - Medicare Nurse Anesthetist, Certified Registered in Charleston, SC