| Robert J Mitchell, DO | |
|
920 West St, Ste 211, Peru, IL 61354-2763 | |
| (815) 223-2143 | |
| Not Available |
| Full Name | Robert J Mitchell |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 30 Years |
| Location | 920 West St, Peru, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467491092 | NPI | - | NPPES |
| 200039264 | Other | IL | RAILROAD MEDICARE |
| 4119029001 | Other | IL | CIGNA |
| 005723 | Other | IL | HEALTH ALLIANCE |
| 036096898 | Medicaid | IL | |
| 7872232 | Other | IL | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 036096898 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ottawa Regional Hospital Dba Osf Saint Elizabeth Mdl Ctr | Ottawa, IL | Hospital |
| Osf Saint Paul Medical Center | Mendota, IL | Hospital |
| Perry Memorial Hospital | Princeton, IL | Hospital |
| Osf Saint Anthony Medical Center | Rockford, IL | Hospital |
| Saint Francis Medical Center | Peoria, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Osf Multi-specialty Group | 3678889789 | 1848 |
| Entity Name | Osf Multi-specialty Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert J Mitchell, DO 920 West St, Ste 211, Peru, IL 61354-2763 Ph: (815) 223-2143 | Robert J Mitchell, DO 920 West St, Ste 211, Peru, IL 61354-2763 Ph: (815) 223-2143 |
Peter J Meier, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 920 West St, Ste 211, Peru, IL 61354 Phone: 815-223-2143 | |
Connor Kasik, Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 920 West St Ste 211, Peru, IL 61354 Phone: 815-223-2143 Fax: 815-223-7443 |