Matthew Mitchell, MD is a medicare enrolled "Surgery - Plastic And Reconstructive Surgery" physician in Ponte Vedra Beach, Florida. He graduated from medical school in 2017 and has 8 years of diverse experience with area of expertise as Plastic And Reconstructive Surgery. He is a member of the group practice Ponte Vedra Plastic Surgery, Inc. and his current practice location is
209 Ponte Vedra Park Dr, Ponte Vedra Beach, Florida. You can reach out to his office (for appointments etc.) via phone at
(904) 273-6200.
Matthew Mitchell is licensed to practice in Florida (license number ME159355) 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 1164955761.
Physician's Profile
| Full Name | Matthew Mitchell |
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| Gender | Male |
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| Speciality | Plastic And Reconstructive Surgery |
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| Experience | 8 Years |
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| Location | 209 Ponte Vedra Park Dr, Ponte Vedra Beach, Florida |
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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. |
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Medical Education and Training:
- Matthew Mitchell graduated from medical school in 2017
NPI Data:
- NPI Number: 1164955761
- Provider Enumeration Date: 04/10/2017
- Last Update Date: 07/17/2024
Medicare PECOS Information:
- PECOS PAC ID: 3476954983
- Enrollment ID: I20240925002899
Medical Identifiers
Medical identifiers for Matthew Mitchell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1164955761 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2086S0122X | Surgery - Plastic And Reconstructive Surgery | ME159355 (Florida) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Ponte Vedra Plastic Surgery, Inc. | 5890786701 | 6 |
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. Matthew Mitchell allows following entities to bill medicare on his behalf.
| Entity Name | Ponte Vedra Plastic Surgery, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1841461100
PECOS PAC ID: 5890786701
Enrollment ID: O20041025000741 |
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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. Matthew 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 |
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Matthew Mitchell, MD
209 Ponte Vedra Park Dr,
Ponte Vedra Beach, FL 32082-6600
Ph: (904) 273-6200 | Matthew Mitchell, MD
209 Ponte Vedra Park Dr,
Ponte Vedra Beach, FL 32082-6600
Ph: (904) 273-6200 |
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