Dr Ronald J Mistur, PHD is a medicare enrolled "Psychologist - Clinical" provider in Avon Lake, Ohio. His current practice location is
32730 Walkers Road, #i 5, Avon Lake, Ohio. You can reach out to his office (for appointments etc.) via phone at
(440) 933-8770.
Dr Ronald J Mistur is licensed to practice in Ohio (license number 1813) 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 1558335075.
Healthcare Provider's Profile
| Full Name | Dr Ronald J Mistur |
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| Gender | Male |
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| Speciality | Psychologist - Clinical |
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| Location | 32730 Walkers Road, Avon Lake, Ohio |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1558335075
- Provider Enumeration Date: 02/13/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 6608902689
- Enrollment ID: I20100329001049
Medical Identifiers
Medical identifiers for Dr Ronald J Mistur such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1558335075 | NPI | - | NPPES |
| 000000131040 | Other | OH | ANTHEM |
| 000000131040 | Other | OH | MAGELLAN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | 1813 (Ohio) | 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. Dr Ronald J Mistur allows following entities to bill medicare on his behalf.
| Entity Name | Landings Family & Psychological Center, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1790952000
PECOS PAC ID: 1052447034
Enrollment ID: O20100329001064 |
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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. Dr Ronald J Mistur 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 Ronald J Mistur, PHD
32730 Walkers Road, #i 5,
Avon Lake, OH 44012
Ph: (440) 933-8770 | Dr Ronald J Mistur, PHD
32730 Walkers Road, #i 5,
Avon Lake, OH 44012
Ph: (440) 933-8770 |
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