| Dr Derrick A Mitchell, MD | |
|
10130 Louetta Rd, Suite L, Houston, TX 77070-2118 | |
| (281) 301-3130 | |
| (281) 301-3134 |
| Full Name | Dr Derrick A Mitchell |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 23 Years |
| Location | 10130 Louetta Rd, Houston, Texas |
| 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 |
|---|---|---|---|
| 1447230685 | NPI | - | NPPES |
| 8J9907 | Other | TX | BCBSTX PROV NO |
| 175406101 | Medicaid | TX | |
| P00251027 | Other | TX | RAILROAD MEDICARE PROV NO |
| 175406102 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | M0828 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Luke's The Woodlands Hospital | The woodlands, TX | Hospital |
| Chi St Lukes Lakeside Hospital | The woodlands, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Medella Urgent Care Pllc | 9234417767 | 11 |
| Entity Name | St Joseph Emergency Physicians Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326324047 PECOS PAC ID: 2163698929 Enrollment ID: O20111228000136 |
| Entity Name | Medella Urgent Care Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255785580 PECOS PAC ID: 9234417767 Enrollment ID: O20161103000497 |
| Entity Name | Integrative Emergency Services Physician Group-houston Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801458708 PECOS PAC ID: 7113258500 Enrollment ID: O20191016002208 |
| Entity Name | Round Table Physicians Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023439114 PECOS PAC ID: 0547682460 Enrollment ID: O20200623002513 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Derrick A Mitchell, MD 10130 Louetta Rd, Suite L, Houston, TX 77070-2118 Ph: (281) 301-3130 | Dr Derrick A Mitchell, MD 10130 Louetta Rd, Suite L, Houston, TX 77070-2118 Ph: (281) 301-3130 |
Dr. Taketo Baba, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 6621 Fannin St, Houston, TX 77030 Phone: 832-824-1000 | |
Aisha C Haynie, MD, MPA Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2223 West Loop S, Houston, TX 77027 Phone: 713-439-6913 | |
Hashim Zaidi, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 6411 Fannin St, Houston, TX 77030 Phone: 713-500-7878 | |
Dr. Miguel A Nieto, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1504 Taub Loop, Emergency Center, Houston, TX 77030 Phone: 713-873-7045 | |
Dr. Louis Bruno Fornage, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1504 Taub Loop, Houston, TX 77030 Phone: 713-873-3060 Fax: 713-873-2325 | |
Amy Rossi, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 6431 Fannin St, Jjl 431, Houston, TX 77030 Phone: 713-500-7882 | |
Lara Samarneh, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 6431 Fannin St., Jjl270, Houston, TX 77030 Phone: 713-500-0758 Fax: 713-500-0758 |