| Blaine Parrish Mitchell, DO | |
|
3501 Johnson St, Hollywood, FL 33021-5421 | |
| (954) 437-4800 | |
| (954) 437-6628 |
| Full Name | Blaine Parrish Mitchell |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 28 Years |
| Location | 3501 Johnson St, Hollywood, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831114685 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | H77682 (Maryland) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | OS9735 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mary Washington Hospital, Inc | Fredericksburg, VA | Hospital |
| Parrish Medical Center | Titusville, FL | Hospital |
| Uf Health Leesburg Hospital | Leesburg, FL | Hospital |
| Uf Health Spanish Plaines Hospital | The villages, FL | Hospital |
| Stafford Hospital, Llc | Stafford, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Florida Radiology Associates Llc | 2769829522 | 74 |
| Mary Washington Healthcare Providers Llc | 1456629369 | 264 |
| Entity Name | Mori Bean and Brooks Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093782070 PECOS PAC ID: 8820077878 Enrollment ID: O20040714001317 |
| Entity Name | Empire State Radiology P C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255962783 PECOS PAC ID: 4385075241 Enrollment ID: O20200515002516 |
| Entity Name | Lucidsolutions Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518594480 PECOS PAC ID: 0749603462 Enrollment ID: O20200724000033 |
| Entity Name | Millennium Medical Imaging PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235114182 PECOS PAC ID: 5799776910 Enrollment ID: O20201001002033 |
| Entity Name | Florida Radiology Associates LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497510978 PECOS PAC ID: 2769829522 Enrollment ID: O20240328001743 |
| Entity Name | University Medical Center of Southern Nevada |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548393127 PECOS PAC ID: 7315934429 Enrollment ID: O20250217000100 |
| Entity Name | Mary Washington Healthcare Providers LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750826277 PECOS PAC ID: 1456629369 Enrollment ID: O20250627001914 |
| Mailing Address | Practice Location Address |
|---|---|
| Blaine Parrish Mitchell, DO 500 N Hiatus Rd Ste 200, Pembroke Pines, FL 33026-5213 Ph: (954) 437-4800 | Blaine Parrish Mitchell, DO 3501 Johnson St, Hollywood, FL 33021-5421 Ph: (954) 437-4800 |
Dr. Lester Goldberg, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3501 Johnson St, Hollywood, FL 33021 Phone: 954-987-2000 Fax: 954-437-6628 |
Dr. Stanley Jared Chang, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3501 Johnson St, Hollywood, FL 33021 Phone: 954-437-4800 Fax: 954-437-6628 |
Dr. Scott Skorupa, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3501 Johnson St, Hollywood, FL 33021 Phone: 954-987-2000 Fax: 954-437-6628 |
Dr. Michael Cohn, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3501 Johnson St, Hollywood, FL 33021 Phone: 954-987-2000 Fax: 954-437-6628 |
Dr. Charles J. Myers, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3501 Johnson St, Hollywood, FL 33021 Phone: 544-374-8009 Fax: 954-437-6628 |
Dr. Jared Ross Green, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1005 Joe Dimaggio Dr, Hollywood, FL 33021 Phone: 954-265-5892 |
Dr. Jordan Ditchek, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3501 Johnson St, Hollywood, FL 33021 Phone: 954-987-2000 Fax: 954-437-6628 |