| Kimberly Mitchell, | |
|
Rr 1 Box 154, Williamson, WV 25661-9724 | |
| (304) 475-3138 | |
| Not Available |
| Full Name | Kimberly Mitchell |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 18 Years |
| Location | Rr 1 Box 154, Williamson, West Virginia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225275324 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 63113 (West Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Charleston Area Medical Center | Charleston, WV | Hospital |
| Thomas Memorial Hospital | South charleston, WV | Hospital |
| Charleston Surgical Hospital | Charleston, WV | Hospital |
| Boone Memorial Hospital | Madison, WV | Hospital |
| Highlands Arh Regional Medical Center | Prestonsburg, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Triangle Anesthesia Group, Psc | 9436161585 | 78 |
| Charleston Surgical Hospital, Llc | 6800887092 | 30 |
| Charleston Area Medical Center Inc | 3375441637 | 969 |
| Professional Anesthesia Service,inc. | 2769387190 | 45 |
| Boone Memorial Hospital Inc | 3375433352 | 70 |
| Entity Name | Kentucky Anesthesia Group Psc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073608634 PECOS PAC ID: 4082527890 Enrollment ID: O20031107000511 |
| Entity Name | Triangle Anesthesia Group, Psc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124079314 PECOS PAC ID: 9436161585 Enrollment ID: O20060608000180 |
| Entity Name | Riverside Anesthesia Psc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578946596 PECOS PAC ID: 3072828193 Enrollment ID: O20150819007441 |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly Mitchell, Rr 1 Box 154, Williamson, WV 25661-9724 Ph: (304) 475-3138 | Kimberly Mitchell, Rr 1 Box 154, Williamson, WV 25661-9724 Ph: (304) 475-3138 |