| Charles Howard Mitchell, DO | |
|
200 Melville Dr, Pauls Valley, OK 73075-6600 | |
| (405) 238-5555 | |
| (405) 238-6348 |
| Full Name | Charles Howard Mitchell |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 45 Years |
| Location | 200 Melville Dr, Pauls Valley, Oklahoma |
| 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 |
|---|---|---|---|
| 1356341721 | NPI | - | NPPES |
| 100089620A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 2248 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lifespring Home Care | Pauls valley, OK | Home health agency |
| Mercy Hospital Ardmore, Inc | Ardmore, OK | Hospital |
| Mercy Hospital Oklahoma City, Inc | Oklahoma city, OK | Hospital |
| Norman Regional | Norman, OK | Hospital |
| Holdenville General Hospital | Holdenville, OK | Hospital |
| Mercy Hospital Ada | Ada, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Clinic Oklahoma Communities | 1153468921 | 558 |
| Holdenville Hospital Authority | 6002031424 | 9 |
| Entity Name | Mercy Clinic Oklahoma Communities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386874550 PECOS PAC ID: 1153468921 Enrollment ID: O20091027000755 |
| Entity Name | Holdenville Hospital Authority |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1265851455 PECOS PAC ID: 6002031424 Enrollment ID: O20140627001419 |
| Entity Name | Holdenville Hospital Authority |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265851455 PECOS PAC ID: 6002031424 Enrollment ID: O20140702001183 |
| Mailing Address | Practice Location Address |
|---|---|
| Charles Howard Mitchell, DO 200 Melville Dr, Pauls Valley, OK 73075-6600 Ph: (405) 238-5555 | Charles Howard Mitchell, DO 200 Melville Dr, Pauls Valley, OK 73075-6600 Ph: (405) 238-5555 |