| Rachael D Mitchell, PA-C | |
|
107 Koontz Ave Ste 200, Clendenin, WV 25045-9581 | |
| (304) 548-7272 | |
| (304) 548-7149 |
| Full Name | Rachael D Mitchell |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 15 Years |
| Location | 107 Koontz Ave Ste 200, Clendenin, 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 |
|---|---|---|---|
| 1114266327 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 1715 (West Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Stonerise Home Health | Charleston, WV | Home health agency |
| Thomas Memorial Hospital | South charleston, WV | Hospital |
| Charleston Area Medical Center | Charleston, WV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ths Physician Partners Inc | 9537316393 | 366 |
| Womencare Inc | 4587568134 | 52 |
| Entity Name | Womencare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194759290 PECOS PAC ID: 4587568134 Enrollment ID: O20031125000177 |
| Entity Name | Womencare Inc |
|---|---|
| Entity Type | Part B Supplier - Public Health/welfare Agency |
| Entity Identifiers | NPI Number: 1740450089 PECOS PAC ID: 4587568134 Enrollment ID: O20080807000128 |
| Entity Name | Ths Physician Partners Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871866806 PECOS PAC ID: 9537316393 Enrollment ID: O20120829000738 |
| Entity Name | Cabin Creek Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366495525 PECOS PAC ID: 2466431101 Enrollment ID: O20130905000096 |
| Entity Name | Womencare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447618327 PECOS PAC ID: 4587568134 Enrollment ID: O20160913002016 |
| Entity Name | Womencare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578073706 PECOS PAC ID: 4587568134 Enrollment ID: O20180312001821 |
| Entity Name | Womencare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790276525 PECOS PAC ID: 4587568134 Enrollment ID: O20181102002547 |
| Entity Name | Womencare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396237434 PECOS PAC ID: 4587568134 Enrollment ID: O20190517001924 |
| Entity Name | Womencare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770745036 PECOS PAC ID: 4587568134 Enrollment ID: O20190806002319 |
| Entity Name | Womencare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174106124 PECOS PAC ID: 4587568134 Enrollment ID: O20211028001145 |
| Entity Name | Womencare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962045948 PECOS PAC ID: 4587568134 Enrollment ID: O20220526002680 |
| Entity Name | Womencare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730671751 PECOS PAC ID: 4587568134 Enrollment ID: O20221228003052 |
| Mailing Address | Practice Location Address |
|---|---|
| Rachael D Mitchell, PA-C 104 Alex Ln, Charleston, WV 25304-2952 Ph: (304) 734-2040 | Rachael D Mitchell, PA-C 107 Koontz Ave Ste 200, Clendenin, WV 25045-9581 Ph: (304) 548-7272 |
Chelsea Agnew, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 107 Koontz Ave Ste 200, Clendenin, WV 25045 Phone: 304-548-7272 |
Mary E Grandon, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 107 Koontz Ave. Ste. 200, Clendenin, WV 25045 Phone: 304-548-7272 Fax: 304-548-7149 |
Ms. Jennifer Lynn Thayer, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 107 Koontz Ave Ste 200, Clendenin, WV 25045 Phone: 304-548-7272 Fax: 304-548-7149 |
Trenton Ryan Johnson, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 107 Koontz Ave Ste 200, Clendenin, WV 25045 Phone: 304-548-7272 Fax: 304-542-7149 |