Russell Mitchell, in Roswell, GA - Medicare Emergency Medicine

Russell Mitchell, is a medicare enrolled "Emergency Medicine" physician in Roswell, Georgia. His current practice location is 3000 Hospital Blvd, Roswell, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 751-2567.

Russell Mitchell is licensed to practice in Georgia (license number 043431) 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 1750481925.

Contact Information

	Russell Mitchell,
	3000 Hospital Blvd, Roswell, GA 30076-4915
	(770) 751-2567
	Not Available

Map and Direction

Physician's Profile

Full Name	Russell Mitchell
Gender	Male
Speciality	Emergency Medicine
Location	3000 Hospital Blvd, Roswell, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750481925
Provider Enumeration Date: 09/25/2006
Last Update Date: 12/15/2008

Medicare PECOS Information:

PECOS PAC ID: 4284729377
Enrollment ID: I20071004000463

Medical Identifiers

Medical identifiers for Russell Mitchell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750481925	NPI	-	NPPES
000741782B	Medicaid	GA
000741782D	Medicaid	GA
000741782E	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	043431 (Georgia)	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. Russell Mitchell allows following entities to bill medicare on his behalf.

Entity Name	Northside Emergency Associates, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285686303 PECOS PAC ID: 9335135144 Enrollment ID: O20040426000165

Entity Name	Gwinnett Emergency Specialists Observation Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720373129 PECOS PAC ID: 7618140955 Enrollment ID: O20111101000364

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. Russell Mitchell 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
Russell Mitchell, 5665 New Northside Dr Nw, Atlanta, GA 30328-5831 Ph: (770) 874-5400	Russell Mitchell, 3000 Hospital Blvd, Roswell, GA 30076-4915 Ph: (770) 751-2567

Reviews and Comments

Emergency Medicine Doctors in Roswell, GA

Yevheniy Lider, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3000 Hospital Blvd, Roswell, GA 30076 Phone: 770-751-2500
Michael Lipscomb, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3000 Hospital Blvd, Roswell, GA 30076 Phone: 770-751-2567
Damon C. Kimes, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1300 Upper Hembree Rd Ste B, Roswell, GA 30076 Phone: 678-736-7680 Fax: 888-537-5362
Samuel Lorenzo, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1360 Upper Hembree Rd, Suite 100, Roswell, GA 30076 Phone: 678-672-5100 Fax: 678-672-5101
Charles V Pollack Jr., MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1120 Wilde Run Ct, Roswell, GA 30075 Phone: 610-329-2986 Fax: 888-959-8345
Dr. Lisa M Perez, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 303 Bombay Ln, Roswell, GA 30076 Phone: 678-869-5158 Fax: 678-869-5159
Jonathan Mills, Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 3000 Hospital Blvd, Roswell, GA 30076 Phone: 770-751-2567

Russell Mitchell, - Medicare Emergency Medicine in Roswell, GA