| Kenneth Allen Mitchell, PA-C | |
|
6025 Lake Rd, Suite 200, Woodbury, MN 55125-1712 | |
| (651) 999-6800 | |
| (651) 999-6830 |
| Full Name | Kenneth Allen Mitchell |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 29 Years |
| Location | 6025 Lake Rd, Woodbury, Minnesota |
| 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 |
|---|---|---|---|
| 1922096379 | NPI | - | NPPES |
| 534141800 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA970 (Arkansas) | Primary |
| 363A00000X | Physician Assistant | 10025 (Minnesota) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Erlanger Health | 1153780226 | 352 |
| Mailing Address | Practice 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 |
Kristine Lynn Felsman Freiling, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4040 Radio Dr, Woodbury, MN 55129 Phone: 651-439-8807 Fax: 651-439-0232 | |
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 | |
Ms. Kristen D Ballenthin, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 449 Commerce Drive, Woodbury, MN 55125 Phone: 651-239-1874 Fax: 651-731-0904 | |
David Preston Law, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2090 Woodwinds Dr Ste 200, Woodbury, MN 55125 Phone: 651-968-5200 Fax: 651-730-3556 | |
Ms. Eunice Lee, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 8675 Valley Creek Rd, Woodbury, MN 55125 Phone: 651-241-3000 Fax: 651-241-3507 | |
Robin Shultz, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8450 Seasons Pkwy, Woodbury, MN 55125 Phone: 952-853-8800 |