Dr Charles Kenneth Mitchell Jr, MD is a medicare enrolled "Surgery" physician in Moncks Corner, South Carolina. He went to Brody School Of Medicine At East Carolina University and graduated in 1990 and has 35 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Roper Saint Francis Physicians Network and his current practice location is
3508 S Live Oak Dr Ste 100, Moncks Corner, South Carolina. You can reach out to his office (for appointments etc.) via phone at
(843) 606-7996.
Dr Charles Kenneth Mitchell Jr is licensed to practice in South Carolina (license number 33289) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1346263159.
Physician's Profile
| Full Name | Dr Charles Kenneth Mitchell Jr |
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| Gender | Male |
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| Speciality | General Surgery |
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| Experience | 35 Years |
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| Location | 3508 S Live Oak Dr Ste 100, Moncks Corner, South Carolina |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Charles Kenneth Mitchell Jr attended and graduated from Brody School Of Medicine At East Carolina University in 1990
NPI Data:
- NPI Number: 1346263159
- Provider Enumeration Date: 07/25/2006
- Last Update Date: 08/27/2025
Medicare PECOS Information:
- PECOS PAC ID: 1355392747
- Enrollment ID: I20110401000832
Medical Identifiers
Medical identifiers for Dr Charles Kenneth Mitchell Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1346263159 | NPI | - | NPPES |
| N00360 | Medicaid | SC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208600000X | Surgery | 33289 (South Carolina) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Roper Saint Francis Physicians Network | 5193874824 | 478 |
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. Dr Charles Kenneth Mitchell Jr allows following entities to bill medicare on his behalf.
| Entity Name | Roper Saint Francis Physicians Network |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1124431606
PECOS PAC ID: 5193874824
Enrollment ID: O20090528000405 |
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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. Dr Charles Kenneth Mitchell Jr 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 |
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Dr Charles Kenneth Mitchell Jr, MD
Po Box 751649,
Charlotte, NC 28275-1649
Ph: (888) 472-0043 | Dr Charles Kenneth Mitchell Jr, MD
3508 S Live Oak Dr Ste 100,
Moncks Corner, SC 29461-8737
Ph: (843) 606-7996 |
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