Dr Tarissa Mitchell, MD in Jonesboro, GA

Dr Tarissa Mitchell, MD is a medicare enrolled "Pediatrics" physician in Jonesboro, Georgia. Her current practice location is 2400 Mount Zion Pkwy, Kaiser Permanente Southwood Medical Center, Jonesboro, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 603-3612.

Dr Tarissa Mitchell is licensed to practice in Georgia (license number 060672) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1235306838.

Contact Information

	Dr Tarissa Mitchell, MD
	2400 Mount Zion Pkwy, Kaiser Permanente Southwood Medical Center, Jonesboro, GA 30236-2500
	(770) 603-3612
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Tarissa Mitchell
Gender	Female
Speciality	Pediatrics
Location	2400 Mount Zion Pkwy, Jonesboro, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1235306838
Provider Enumeration Date: 05/13/2008
Last Update Date: 01/07/2022

Medicare PECOS Information:

PECOS PAC ID: 4789871542
Enrollment ID: I20101207000341

Medical Identifiers

Medical identifiers for Dr Tarissa Mitchell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235306838	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	060672 (Georgia)	Primary

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 Tarissa Mitchell allows following entities to bill medicare on her behalf.

Entity Name	The Southeast Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245266956 PECOS PAC ID: 6204829013 Enrollment ID: O20040407000370

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 Tarissa Mitchell 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
Dr Tarissa Mitchell, MD 3495 Piedmont Rd Ne, Nine Piedmont Center, Atlanta, GA 30305-1717 Ph: (404) 364-7070	Dr Tarissa Mitchell, MD 2400 Mount Zion Pkwy, Kaiser Permanente Southwood Medical Center, Jonesboro, GA 30236-2500 Ph: (770) 603-3612

Reviews and Comments

Pediatrics Doctors in Jonesboro, GA

Mark C Becknell, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2400 Mount Zion Pkwy, Kaiser Permanente Southwood Medical Center, Jonesboro, GA 30236 Phone: 770-603-3614
Gary J Hirsch, PAC Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2400 Mount Zion Parkway, Pediatrics Health Care Team A, Jonesboro, GA 30236 Phone: 770-603-3649
Dr. Maria Teresa A Coleman, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 236 Arrowhead Blvd, Jonesboro, GA 30236 Phone: 770-478-9240 Fax: 770-478-0318
Lashawnda Doster Jones, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2400 Mount Zion Pkwy, Jonesboro, GA 30236 Phone: 404-365-0966
Dr. Taisha K Okafor, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 236 Arrowhead Blvd, Jonesboro, GA 30236 Phone: 770-478-9240 Fax: 770-478-0318
David G Prozzo, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2400 Mount Zion Parkway, Department Of After Hours, Jonesboro, GA 30236 Phone: 404-364-7243

Dr Tarissa Mitchell, MD - Medicare Pediatrics in Jonesboro, GA