| Robert R Mitchell, PA-C | |
|
9915 Sandifur Pkwy, Pasco, WA 99301-8941 | |
| (509) 546-2222 | |
| (509) 546-2202 |
| Full Name | Robert R Mitchell |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 30 Years |
| Location | 9915 Sandifur Pkwy, Pasco, Washington |
| 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 |
|---|---|---|---|
| 1629008222 | NPI | - | NPPES |
| 8147043 | Medicaid | WA | |
| PA10003461 | Other | WA | PA-C LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA10003461 (Washington) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lourdes Hospital Llc | 1850642562 | 42 |
| Entity Name | R&b Fleck Enterprises LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225163926 PECOS PAC ID: 2466438171 Enrollment ID: O20040624001325 |
| Entity Name | Lourdes Hospital LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659861060 PECOS PAC ID: 1850642562 Enrollment ID: O20181113000853 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert R Mitchell, PA-C 229 Laurel St, Walla Walla, WA 99362-2640 Ph: (509) 522-0133 | Robert R Mitchell, PA-C 9915 Sandifur Pkwy, Pasco, WA 99301-8941 Ph: (509) 546-2222 |
Jesse Manuel Clossey, Physician Assistant Medicare: Medicare Enrolled Practice Location: 520 N 4th Ave, Pasco, WA 99301 Phone: 509-946-2207 |
Eyob G Kidane, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7425 Wrigley Dr, Ste 100, Pasco, WA 99301 Phone: 509-416-8888 Fax: 509-545-6842 |
Tina Tran, Physician Assistant Medicare: Medicare Enrolled Practice Location: 4904 Kennedy Way, Pasco, WA 99301 Phone: 509-212-9585 |
William Henry Hanson, PA-C, DPM Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5304 N Road 68, Pasco, WA 99301 Phone: 509-543-9300 |
Ms. Jennelle Ashley Thompson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1608 N Road 44, Pasco, WA 99301 Phone: 509-543-9280 Fax: 509-545-6275 |
Eric Pearson, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5304 Road 68, Pasco, WA 99301 Phone: 509-543-9300 |
Carrie V West, PAC Physician Assistant Medicare: Medicare Enrolled Practice Location: 4403 W Court St, Suite B, Pasco, WA 99301 Phone: 509-545-6620 Fax: 509-545-6842 |