Terrell Wootten, CNM is a medicare enrolled "Advanced Practice Midwife" in South Hill, Virginia. Her current practice location is
420 Bracey Ln, South Hill, Virginia. You can reach out to her office (for appointments etc.) via phone at
(434) 447-7765.
Terrell Wootten is licensed to practice in Virginia (license number 0024056113) 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 1871676742.
Provider's Profile
| Full Name | Terrell Wootten |
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| Gender | Female |
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| Speciality | Advanced Practice Midwife |
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| Location | 420 Bracey Ln, South Hill, Virginia |
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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: 1871676742
- Provider Enumeration Date: 10/23/2006
- Last Update Date: 12/10/2014
Medicare PECOS Information:
- PECOS PAC ID: 3870511439
- Enrollment ID: I20051102001082
Medical Identifiers
Medical identifiers for Terrell Wootten such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1871676742 | NPI | - | NPPES |
| 0024056113 | Other | VA | CNM VA LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 367A00000X | Advanced Practice Midwife | 0024056113 (Virginia) | 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. Terrell Wootten allows following entities to bill medicare on her behalf.
| Entity Name | Cmh Physician Services Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1194760645 PECOS PAC ID: 3779551445 Enrollment ID: O20040921000171 |
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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. Terrell Wootten 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 |
Terrell Wootten, CNM Po Box 623, South Hill, VA 23970-0623 Ph: (434) 447-7765 | Terrell Wootten, CNM 420 Bracey Ln, South Hill, VA 23970-1631 Ph: (434) 447-7765 |
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