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

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



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

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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

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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. 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

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Furthermore, it will also be used in physiotherapy in hospitals to prevent the secondary effects associated with the loss of mobility in this illness. The technology, which has been patented and licensed jointly by CSIC and its technology-based business unit, Marsi Bionics, is currently in the preclinical phase.

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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

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