Mrs Kimberly Raye Mitchell, OD is a medicare enrolled "Optometrist" provider in Greenbrier, Arkansas. She went to Southern College Of Optometry and graduated in 1989 and has 37 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Nicholas Sachse Od Pllc and her current practice location is
278 S Broadview St, Suite B-3, Greenbrier, Arkansas. You can reach out to her office (for appointments etc.) via phone at
(501) 843-7511.
Mrs Kimberly Raye Mitchell is licensed to practice in Arkansas (license number 2376) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1780674101.
Healthcare Provider's Profile
| Full Name | Mrs Kimberly Raye Mitchell |
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| Gender | Female |
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| Speciality | Optometry |
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| Experience | 37 Years |
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| Location | 278 S Broadview St, Greenbrier, Arkansas |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mrs Kimberly Raye Mitchell attended and graduated from Southern College Of Optometry in 1989
NPI Data:
- NPI Number: 1780674101
- Provider Enumeration Date: 10/26/2005
- Last Update Date: 02/18/2026
Medicare PECOS Information:
- PECOS PAC ID: 6901844745
- Enrollment ID: I20050421000572
Medical Identifiers
Medical identifiers for Mrs Kimberly Raye Mitchell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1780674101 | NPI | - | NPPES |
| 120426722 | Medicaid | AR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 2376 (Arkansas) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Nicholas Sachse Od Pllc | 7113391202 | 4 |
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. Mrs Kimberly Raye Mitchell allows following entities to bill medicare on her behalf.
| Provider Name | Arkansas Family Eyecare Of Searcy |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1508093436
PECOS PAC ID: 0648316596
Enrollment ID: O20091006000550 |
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| Provider Name | Nicholas Sachse Od Pllc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1164757662
PECOS PAC ID: 7113391202
Enrollment ID: O20230313000105 |
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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. Mrs Kimberly Raye 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 Address | Practice Location Address |
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Mrs Kimberly Raye Mitchell, OD
278 S Broadview St, Suite B-3,
Greenbrier, AR 72058
Ph: (501) 402-1200 | Mrs Kimberly Raye Mitchell, OD
278 S Broadview St, Suite B-3,
Greenbrier, AR 72058
Ph: (501) 843-7511 |
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