Kathleen J Mitcham, MPAS, PA-C is a
Physician Assistant - Medical based in Box Elder, Montana. Kathleen J Mitcham is licensed to practice in Iowa (license number 001462) and her current practice location is
535 Clinic Rd E, Box Elder, Montana. She can be reached at her office (for appointments etc.) via phone at
(406) 395-4486.
NPI number for Kathleen J Mitcham is 1366504540 and her current mailing address is 535 Clinic Rd E, Box Elder, Montana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1366504540.
Provider's Profile
| Full Name | Kathleen J Mitcham |
|---|
| Gender | Female |
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| Speciality | Physician Assistant - Medical |
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| Location | 535 Clinic Rd E, Box Elder, Montana |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1366504540
- Provider Enumeration Date: 12/14/2006
- Last Update Date: 03/01/2012
Medical Identifiers
Medical identifiers for Kathleen J Mitcham such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1366504540 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363AM0700X | Physician Assistant - Medical | 001462 (Iowa) | Primary |
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. Kathleen J Mitcham is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kathleen J Mitcham, MPAS, PA-C
535 Clinic Rd E,
Box Elder, MT 59521-8826
Ph: (406) 395-4486 | Kathleen J Mitcham, MPAS, PA-C
535 Clinic Rd E,
Box Elder, MT 59521-8826
Ph: (406) 395-4486 |
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