Kenneth Allen Mitchell, PA-C - Medicare Physician Assistant in Woodbury, MN

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Kenneth Allen Mitchell, PA-C is a medicare enrolled "Physician Assistant" in Woodbury, Minnesota. His current practice location is 6025 Lake Rd, Suite 200, Woodbury, Minnesota. You can reach out to his office (for appointments etc.) via phone at (651) 999-6800.

Kenneth Allen Mitchell is licensed to practice in Arkansas (license number PA970) 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 1922096379.

Contact Information

Kenneth Allen Mitchell, PA-C
6025 Lake Rd, Suite 200,
Woodbury, MN 55125-1712
(651) 999-6800
(651) 999-6830

Map and Direction




Provider's Profile

Full NameKenneth Allen Mitchell
GenderMale
SpecialityPhysician Assistant
Location6025 Lake Rd, Woodbury, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1922096379
  • Provider Enumeration Date: 10/10/2005
  • Last Update Date: 04/05/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 1355370057
  • Enrollment ID: I20230202002124

Medical Identifiers

Medical identifiers for Kenneth Allen Mitchell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1922096379NPI-NPPES
534141800MedicaidMN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 10025 (Minnesota)Secondary
363A00000XPhysician Assistant PA970 (Arkansas)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. Kenneth Allen Mitchell allows following entities to bill medicare on his behalf.
Entity NameChattanooga Hamilton County Hospital Authority
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154751931
PECOS PAC ID: 0547179731
Enrollment ID: O20040302001086
Entity NamePazona MD PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508481284
PECOS PAC ID: 8628494903
Enrollment ID: O20200818000037
Entity NameErlanger Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477256303
PECOS PAC ID: 1153780226
Enrollment ID: O20230707000849

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. Kenneth Allen 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 AddressPractice Location Address
Kenneth Allen Mitchell, PA-C
1300 Centerview Dr,
Little Rock, AR 72211-4349

Ph: (501) 219-8900		Kenneth Allen Mitchell, PA-C
6025 Lake Rd, Suite 200,
Woodbury, MN 55125-1712

Ph: (651) 999-6800

Reviews and Comments


Physician Assistant Nurses in Woodbury, MN

Mekha Joy Karot, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 6025 Lake Rd Ste 200, Woodbury, MN 55125
Phone: 651-999-6800    Fax: 651-999-6970
Abby J Ross, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2090 Woodwinds Dr, Woodbury, MN 55125
Phone: 651-968-5201    Fax: 651-968-5904
Jennifer Susan Ellis, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 4040 Radio Dr, Woodbury, MN 55129
Phone: 651-439-8807    Fax: 651-439-0232
Gina Henderson,
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 710 Commerce Dr Ste 2000, Woodbury, MN 55125
Phone: 414-288-5688    
Kelsey Lynn Stevens,
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2090 Woodwinds Dr, Woodbury, MN 55125
Phone: 651-968-5200    
Allison Cole, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2090 Woodwinds Dr, Woodbury, MN 55125
Phone: 651-968-5201    
David Preston Law, PAC
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 8675 Valley Creek Rd, Woodbury, MN 55125
Phone: 651-241-3000    Fax: 651-241-3205

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.