Dr Emily A Mitchell, DO | |
303 S Nappanee St, Elkhart, IN 46514-2066 | |
(574) 296-3200 | |
(574) 296-3392 |
Full Name | Dr Emily A Mitchell |
---|---|
Gender | Female |
Speciality | General Surgery |
Experience | 14 Years |
Location | 303 S Nappanee St, Elkhart, Indiana |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043537020 | NPI | - | NPPES |
PENDING | Medicaid | IN | |
PENDING | Other | IN | RAILROAD MEDICARE PIN |
1043537020 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 5101018742 (Michigan) | Secondary |
208600000X | Surgery | 02004694A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ascension Borgess Lee Hospital | Dowagiac, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ascension Medical Group Promed | 7315856077 | 233 |
Three Rivers Health System Inc | 8729245584 | 40 |
Entity Name | Ascension Medical Group Promed |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497709869 PECOS PAC ID: 7315856077 Enrollment ID: O20031216000478 |
Entity Name | Elkhart Clinic, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013912286 PECOS PAC ID: 2365341674 Enrollment ID: O20090116000467 |
Entity Name | Lakeland Medical Practices |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538397120 PECOS PAC ID: 1658427042 Enrollment ID: O20090928000216 |
Entity Name | Three Rivers Health System Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720350903 PECOS PAC ID: 8729245584 Enrollment ID: O20140729001948 |
Mailing Address | Practice Location Address |
---|---|
Dr Emily A Mitchell, DO Po Box 2968, Elkhart, IN 46515-2968 Ph: (574) 296-3200 | Dr Emily A Mitchell, DO 303 S Nappanee St, Elkhart, IN 46514-2066 Ph: (574) 296-3200 |
Bradley Gordan, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 500 Arcade Ave Ste 320, Elkhart, IN 46514 Phone: 574-523-7900 Fax: 574-523-7909 | |
Luis Alfonso Benavente Chenhalls, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 500 Arcade Ave, Suite 340, Elkhart, IN 46514 Phone: 574-293-3317 Fax: 574-293-3523 | |
Nicholas Miller, Surgery Medicare: Medicare Enrolled Practice Location: 500 Arcade Ave Ste 210, Elkhart, IN 46514 Phone: 574-389-5656 Fax: 574-523-7891 | |
Anatoliy V. Rudin, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 500 Arcade Ave Ste 320, Elkhart, IN 46514 Phone: 574-293-3317 | |
Dr. Kelly R. Puster, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 303 S Nappanee St, Elkhart, IN 46514 Phone: 574-296-3220 Fax: 574-296-3322 | |
Dr. Jeffery A Mark, MD Surgery Medicare: Medicare Enrolled Practice Location: 515 S 2nd St, Elkhart, IN 46516 Phone: 574-295-4141 |