| Dr Emily A Mitchell, DO | |
|
42 N Saint Joseph Ave Ste 100, Niles, MI 49120-2203 | |
| (269) 684-6696 | |
| Not Available |
| Full Name | Dr Emily A Mitchell |
|---|---|
| Gender | Female |
| Speciality | General Surgery |
| Experience | 16 Years |
| Location | 42 N Saint Joseph Ave Ste 100, Niles, Michigan |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043537020 | NPI | - | NPPES |
| PENDING | Medicaid | IN | |
| PENDING | Other | IN | RAILROAD MEDICARE PIN |
| 1043537020 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 02004694A (Indiana) | Secondary |
| 208600000X | Surgery | 5101018742 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ascension Borgess Lee Hospital | Dowagiac, MI | Hospital |
| Lakeland Hospital, St Joseph | St joseph, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lakeland Medical Practices | 1658427042 | 252 |
| Ascension Medical Group Promed | 7315856077 | 239 |
| Three Rivers Health System Inc | 8729245584 | 42 |
| Entity Name | Ascension Medical Group Promed |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497709869 PECOS PAC ID: 7315856077 Enrollment ID: O20031216000478 |
| Entity Name | Privia Medical Group Indiana, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013912286 PECOS PAC ID: 2365341674 Enrollment ID: O20090116000467 |
| Entity Name | Lakeland Medical Practices |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538397120 PECOS PAC ID: 1658427042 Enrollment ID: O20090928000216 |
| Entity Name | Three Rivers Health System Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720350903 PECOS PAC ID: 8729245584 Enrollment ID: O20140729001948 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Emily A Mitchell, DO 42 N Saint Joseph Ave Ste 100, Niles, MI 49120-2203 Ph: () - | Dr Emily A Mitchell, DO 42 N Saint Joseph Ave Ste 100, Niles, MI 49120-2203 Ph: (269) 684-6696 |
Nitin Chowdary Chilukuri, Surgery Medicare: Accepting Medicare Assignments Practice Location: 42 N Saint Joseph Ave, Niles, MI 49120 Phone: 269-684-6696 | |
Dr. Brian Elbert Bates, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 42 N Saint Joseph Ave, Suite 101, Niles, MI 49120 Phone: 269-684-6696 Fax: 269-684-5286 | |
Dr. Jill L Gorsuch, DO, MPH Surgery Medicare: Not Enrolled in Medicare Practice Location: 42 N Saint Joseph Ave, Suite 100, Niles, MI 49120 Phone: 269-684-6696 Fax: 269-684-5286 | |
Dr. Florentino Arpon Aquino, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 24 N Saint Joseph Ave, Suite C-2, Niles, MI 49120 Phone: 269-683-0330 Fax: 269-684-0400 |