Reid Mitchell, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Muskegon, Michigan. His current practice location is
1675 Leahy St Ste 201, Muskegon, Michigan. You can reach out to his office (for appointments etc.) via phone at
(630) 470-5218.
Reid Mitchell is licensed to practice in * (Not Available) (license number ) 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 1295319473.
Physician's Profile
Full Name | Reid Mitchell |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 1675 Leahy St Ste 201, Muskegon, Michigan |
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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: 1295319473
- Provider Enumeration Date: 05/12/2021
- Last Update Date: 05/28/2025
Medicare PECOS Information:
- PECOS PAC ID: 9931543675
- Enrollment ID: I20240221001134
Medical Identifiers
Medical identifiers for Reid Mitchell such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1295319473 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 5315239280 (Michigan) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Reid Mitchell allows following entities to bill medicare on his behalf.
Entity Name | Grand River Emergency Medical Group Plc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1114929353 PECOS PAC ID: 3274425905 Enrollment ID: O20040327000079 |
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Entity Name | Mercy Health Partners |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1154910172 PECOS PAC ID: 1456430016 Enrollment ID: O20140415001839 |
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Entity Name | Lake Michigan Emergency Specialists, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1124574520 PECOS PAC ID: 0749569242 Enrollment ID: O20161123001655 |
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Entity Name | Lake Michigan Observation Services Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1518626043 PECOS PAC ID: 3375938889 Enrollment ID: O20220321000912 |
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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. Reid 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 |
Reid Mitchell, DO 1675 Leahy St Ste 201, Muskegon, MI 49442-5542 Ph: (630) 470-5218 | Reid Mitchell, DO 1675 Leahy St Ste 201, Muskegon, MI 49442-5542 Ph: (630) 470-5218 |
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