Olesya Mikheeva Mussman, is a medicare enrolled "Psychologist - Clinical" provider in Onaway, Idaho. Her current practice location is
435 Larch St, Onaway, Idaho. You can reach out to her office (for appointments etc.) via phone at
(509) 730-5090.
Olesya Mikheeva Mussman is licensed to practice in Idaho (license number PSY203595) 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 1841845682.
Healthcare Provider's Profile
| Full Name | Olesya Mikheeva Mussman |
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| Gender | Female |
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| Speciality | Psychologist - Clinical |
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| Location | 435 Larch St, Onaway, Idaho |
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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: 1841845682
- Provider Enumeration Date: 08/08/2019
- Last Update Date: 05/10/2024
Medicare PECOS Information:
- PECOS PAC ID: 8224436498
- Enrollment ID: I20211004000242
Medical Identifiers
Medical identifiers for Olesya Mikheeva Mussman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1841845682 | NPI | - | NPPES |
| PY61045946 | Other | WA | WA LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | PSY203595 (Idaho) | Primary |
| 101YM0800X | Counselor - Mental Health | MC60974048 (Washington) | Secondary |
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Secondary |
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. Olesya Mikheeva Mussman allows following entities to bill medicare on her behalf.
| Entity Name | Palouse River Counseling Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1063486272
PECOS PAC ID: 5698768331
Enrollment ID: O20040407000660 |
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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. Olesya Mikheeva Mussman 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 |
|---|
Olesya Mikheeva Mussman,
435 Larch St,
Onaway, ID 83855-8759
Ph: (509) 730-5090 | Olesya Mikheeva Mussman,
435 Larch St,
Onaway, ID 83855-8759
Ph: (509) 730-5090 |
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