| Benjamin Jacob Mitchell, MD | |
|
113 Lielmanis Ave, 1 Somdg, Hurlburt Field, FL 32544 | |
| (850) 881-2337 | |
| (850) 881-2323 |
| Full Name | Benjamin Jacob Mitchell |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 113 Lielmanis Ave, Hurlburt Field, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558379073 | NPI | - | NPPES |
| O05961 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | MD26619 (Oregon) | Primary |
| Entity Name | Usacs Of Colorado Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760415871 PECOS PAC ID: 4981507571 Enrollment ID: O20040130000439 |
| Entity Name | Emergency Physicians Of The Rockies, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174570717 PECOS PAC ID: 0345232492 Enrollment ID: O20040401001494 |
| Entity Name | Usacs Community Emergency Services Of Colorado Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053824979 PECOS PAC ID: 2466711536 Enrollment ID: O20180117002329 |
| Mailing Address | Practice Location Address |
|---|---|
| Benjamin Jacob Mitchell, MD 113 Lielmanis Ave, 1 Somdg, Hurlburt Field, FL 32544 Ph: (850) 881-2337 | Benjamin Jacob Mitchell, MD 113 Lielmanis Ave, 1 Somdg, Hurlburt Field, FL 32544 Ph: (850) 881-2337 |
Dr. Don Vongviphut, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 113 Lielmanis Ave, Hurlburt Field, FL 32544 Phone: 850-881-1020 | |
Caleb Robert Overfelt, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 225 Bennett Ave, Hurlburt Field, FL 32544 Phone: 850-884-1100 | |
Meghan Tape, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 113 Lielmanis Ave, Hurlburt Field, FL 32544 Phone: 850-881-2129 |