Edmund M Mitchell I, MD is a medicare enrolled "Family Medicine" physician in Somerton, Arizona. He went to Jefferson Medical College Of Thomas Jefferson University and graduated in 1990 and has 36 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice San Luis Walk-in Clinic Inc and 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
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and 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 Practice |
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| Experience | 36 Years |
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| Location | 950 E Main St Bldg B, Somerton, Arizona |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Edmund M Mitchell I attended and graduated from Jefferson Medical College Of Thomas Jefferson University in 1990
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 |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| San Luis Walk-in Clinic Inc | 2668361841 | 50 |
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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