Edmund M Mitchell I, MD is a medicare enrolled "Family Medicine" physician in Somerton, Arizona. His current practice location is
950 E Main St Bldg B, Somerton, Arizona. You can reach out to his office (for appointments etc.) via phone at
(928) 236-8001.
Edmund M Mitchell I is licensed to practice in Arizona (license number 43534) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1164422127.
Physician's Profile
Full Name | Edmund M Mitchell I |
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Gender | Male |
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Speciality | Family Medicine |
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Location | 950 E Main St Bldg B, Somerton, Arizona |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1164422127
- Provider Enumeration Date: 07/29/2005
- Last Update Date: 04/23/2025
Medicare PECOS Information:
- PECOS PAC ID: 3274559877
- Enrollment ID: I20100917000462
Medical Identifiers
Medical identifiers for Edmund M Mitchell I such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1164422127 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 43534 (Arizona) | 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. Edmund M Mitchell I allows following entities to bill medicare on his behalf.
Entity Name | San Luis Walk-in Clinic Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1104228337 PECOS PAC ID: 2668361841 Enrollment ID: O20040514000795 |
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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. Edmund M Mitchell I 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 |
Edmund M Mitchell I, MD Po Box 617, Somerton, AZ 85350-0617 Ph: (928) 662-0406 | Edmund M Mitchell I, MD 950 E Main St Bldg B, Somerton, AZ 85350-7409 Ph: (928) 236-8001 |
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