| Dr Jerry Mitchell, MD | |
|
2927 De La Vina St, Santa Barbara, CA 93105-3362 | |
| (805) 324-4296 | |
| (818) 715-1722 |
| Full Name | Dr Jerry Mitchell |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology - Pain Medicine |
| Location | 2927 De La Vina St, Santa Barbara, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497721914 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | G55977 (California) | Secondary |
| 207LP2900X | Anesthesiology - Pain Medicine | G55977 (California) | Primary |
| Entity Name | Jerry Mitchell M D Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811958747 PECOS PAC ID: 6204922156 Enrollment ID: O20071023000657 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jerry Mitchell, MD Po Box 7001, Tarzana, CA 91357-7001 Ph: (818) 888-7815 | Dr Jerry Mitchell, MD 2927 De La Vina St, Santa Barbara, CA 93105-3362 Ph: (805) 324-4296 |
Kris Fallon Kline, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 514 W Pueblo St, 2nd Floor, Santa Barbara, CA 93105 Phone: 805-682-7751 Fax: 805-563-2527 | |
Michael A Cox, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 514 W Pueblo St, Second Floor, Santa Barbara, CA 93105 Phone: 805-682-7751 Fax: 805-563-2527 | |
William Glen Watkins, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 514 W Pueblo St Fl 2, Santa Barbara, CA 93105 Phone: 805-682-7751 Fax: 805-563-2527 | |
Mark Patrick Scott, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 514 W Pueblo St, Second Floor, Santa Barbara, CA 93105 Phone: 805-682-7751 Fax: 805-563-2527 | |
Matthew D. Mccotter, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 514 W Pueblo St Fl 2, Santa Barbara, CA 93105 Phone: 805-682-7751 Fax: 805-563-2527 | |
Kurt Wagner, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 514 W Pueblo St Fl 2, Santa Barbara, CA 93105 Phone: 805-682-7751 | |
Dr. Cong Jian Li, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 514 W Pueblo St Fl 2, Santa Barbara, CA 93105 Phone: 805-682-7751 Fax: 805-563-2527 |