Dr Gerry Dewayne Mitchell, DC is a medicare enrolled "Chiropractor" provider in Saint James, Missouri. He went to Logan College Of Chiropractic and graduated in 2009 and has 15 years of diverse experience with area of expertise as Chiropractic. He is a member of the group practice Mitchell Clinic Llc and his current practice location is
120 S Jefferson St, Suite 105, Saint James, Missouri. You can reach out to his office (for appointments etc.) via phone at
(573) 265-0310.
Dr Gerry Dewayne Mitchell is licensed to practice in Missouri (license number 2009026117) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1770716409.
Healthcare Provider's Profile
| Full Name | Dr Gerry Dewayne Mitchell |
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| Gender | Male |
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| Speciality | Chiropractic |
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| Experience | 15 Years |
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| Location | 120 S Jefferson St, Saint James, Missouri |
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| Accepts Medicare Assignments | Yes. He 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:
- Dr Gerry Dewayne Mitchell attended and graduated from Logan College Of Chiropractic in 2009
NPI Data:
- NPI Number: 1770716409
- Provider Enumeration Date: 08/28/2009
- Last Update Date: 06/23/2016
Medicare PECOS Information:
- PECOS PAC ID: 3779620182
- Enrollment ID: I20091016000213
Medical Identifiers
Medical identifiers for Dr Gerry Dewayne Mitchell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1770716409 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | 2009026117 (Missouri) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Mitchell Clinic Llc | 8123165537 | 2 |
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. Dr Gerry Dewayne Mitchell allows following entities to bill medicare on his behalf.
| Provider Name | Mitchell Clinic Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1356675664
PECOS PAC ID: 8123165537
Enrollment ID: O20091016000226 |
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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. Dr Gerry Dewayne 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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Dr Gerry Dewayne Mitchell, DC
115 E Springfield St, Suite 105,
Saint James, MO 65559-1646
Ph: (573) 265-0310 | Dr Gerry Dewayne Mitchell, DC
120 S Jefferson St, Suite 105,
Saint James, MO 65559-1365
Ph: (573) 265-0310 |
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