| Michele M Mitchell, MD | |
|
1923 W Glen Park Ave, Griffith, IN 46319-3703 | |
| (219) 922-2535 | |
| Not Available |
| Full Name | Michele M Mitchell |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 1923 W Glen Park Ave, Griffith, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174505325 | NPI | - | NPPES |
| 2140598 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036.159710 (Illinois) | Primary |
| 207Q00000X | Family Medicine | ME88708 (Florida) | Secondary |
| Entity Name | Osh-mi Physicians Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700236478 PECOS PAC ID: 7810282191 Enrollment ID: O20160825001362 |
| Mailing Address | Practice Location Address |
|---|---|
| Michele M Mitchell, MD 111 W Wacker Dr, Chicago, IL 60601-1606 Ph: (571) 721-8689 | Michele M Mitchell, MD 1923 W Glen Park Ave, Griffith, IN 46319-3703 Ph: (219) 922-2535 |
Charles Mok Jr., DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1573 N Cline Ave, Griffith, IN 46319 Phone: 219-838-2312 Fax: 219-972-7177 | |
Dr. Mohamed Monzer Krad, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 315 W 35th Ave, Griffith, IN 46319 Phone: 219-923-9200 Fax: 219-972-1557 | |
Michael J Nommensen, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1573 N Cline Ave, Griffith, IN 46319 Phone: 219-838-2311 |