| Amanda Fortner Mitchell, PA-C | |
|
1303 Gault Ave N Ste Iv, Fort Payne, AL 35967-3104 | |
| (256) 273-5320 | |
| (256) 273-5320 |
| Full Name | Amanda Fortner Mitchell |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Surgical |
| Location | 1303 Gault Ave N Ste Iv, Fort Payne, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629576483 | NPI | - | NPPES |
| 220540 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | PA1328 (Alabama) | Primary |
| 363A00000X | Physician Assistant | PA1328 (Alabama) | Secondary |
| Entity Name | Northeast Orthopedic Clinic PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699785790 PECOS PAC ID: 6709798200 Enrollment ID: O20031103000704 |
| Entity Name | Alabama Emergency Physician Partners, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891031894 PECOS PAC ID: 4082868641 Enrollment ID: O20130206000466 |
| Entity Name | Urgent Care of Alabama LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962840728 PECOS PAC ID: 9133362304 Enrollment ID: O20130909000197 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Fortner Mitchell, PA-C 1303 Gault Ave N Ste Iv, Fort Payne, AL 35967-3104 Ph: (256) 273-5320 | Amanda Fortner Mitchell, PA-C 1303 Gault Ave N Ste Iv, Fort Payne, AL 35967-3104 Ph: (256) 273-5320 |
Brilee Johnson, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 212 Airport Road W, Fort Payne, AL 35968 Phone: 256-979-1250 Fax: 256-979-1251 |
Chase Austin Brown, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 212 Airport Rd W, Fort Payne, AL 35968 Phone: 256-979-1250 |
Emily S Jones, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 306 Medical Center Dr Sw, Fort Payne, AL 35968 Phone: 256-845-9255 |