| Dr Kelly T Mitchell, MD | |
|
3601 4th St, 2a100, Lubbock, TX 79430-0002 | |
| (806) 743-2020 | |
| (806) 743-1782 |
| Full Name | Dr Kelly T Mitchell |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Experience | 35 Years |
| Location | 3601 4th St, Lubbock, 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 |
|---|---|---|---|
| 1811988751 | NPI | - | NPPES |
| 144792205 | Medicaid | TX | |
| 144792206 | Medicaid | TX | |
| 81940 | Medicaid | NM | |
| 200013870A | Medicaid | OK | |
| 87410Z | Other | TX | HMO BLUE |
| 08534730 | Medicaid | NM | |
| 8G7982 | Other | TX | BC/BS |
| 101449101 | Medicaid | TX | |
| 81940 | Other | NM | PRESBYTERIAN COMMERCIAL |
| A582 | Other | NM | TRIWEST |
| 101449100 | Other | TX | FIRSTCARE COMMERCIAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | L1942 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Medical Center | Lubbock, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Texas Tech University Health Sciences Center Lubbock | 4385549674 | 340 |
| Entity Name | Texas Tech University Health Sciences Center Lubbock |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063461358 PECOS PAC ID: 4385549674 Enrollment ID: O20110318000468 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kelly T Mitchell, MD Po Box 5865, Lubbock, TX 79408-5865 Ph: (806) 743-2898 | Dr Kelly T Mitchell, MD 3601 4th St, 2a100, Lubbock, TX 79430-0002 Ph: (806) 743-2020 |
Ming Tao Peter Ho, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 3702 34th St, Lubbock, TX 79410 Phone: 806-799-3944 Fax: 806-799-4238 | |
Dr. Coby Nielson Ray, MD, MS, MBA Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 3601 4th St # Ms 7217, Lubbock, TX 79430 Phone: 806-743-2020 | |
Misty Ruppert, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 3601 4th St, Lubbock, TX 79430 Phone: 806-743-1000 | |
Dr. Leonardo Dominguez, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 3601 4th St, 2a100, Lubbock, TX 79430 Phone: 806-743-2020 Fax: 806-743-1782 | |
Allan M Eisenbaum, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 3601 4th St, Ste 2a100, Lubbock, TX 79430 Phone: 806-743-2020 Fax: 806-743-1782 | |
Omar Muhammad Shoukfeh, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 3611 50th St, Lubbock, TX 79413 Phone: 806-792-5900 Fax: 806-792-6092 | |
Dr. Donald Robert Lee May, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 4611 9th St, Lubbock, TX 79416 Phone: 806-543-0678 |