Dr Randolph L Mitchell, DMD in Lyons, NY - Medicare Dentist Provider

Dr Randolph L Mitchell, DMD is a medicare enrolled "Dentist - General Practice" provider in Lyons, New York. His current practice location is 47 William St, Lyons, New York. You can reach out to his office (for appointments etc.) via phone at (315) 946-6511.

Dr Randolph L Mitchell is licensed to practice in New York (license number 037192) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1730184334.

Contact Information

	Dr Randolph L Mitchell, DMD
	47 William St, Lyons, NY 14489-1544
	(315) 946-6511
	(315) 946-6483

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Randolph L Mitchell
Gender	Male
Speciality	Dentist - General Practice
Location	47 William St, Lyons, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1730184334
Provider Enumeration Date: 06/20/2005
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 8729307004
Enrollment ID: I20150508000113

Medical Identifiers

Medical identifiers for Dr Randolph L Mitchell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730184334	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	037192 (New York)	Primary

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 Randolph L 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
Dr Randolph L Mitchell, DMD 47 William St, Lyons, NY 14489-1544 Ph: (315) 946-6511	Dr Randolph L Mitchell, DMD 47 William St, Lyons, NY 14489-1544 Ph: (315) 946-6511

Reviews and Comments

Dentist in Lyons, NY

Waiyawat Chotibut, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 52 Broad St, Lyons, NY 14489 Phone: 315-946-4656 Fax: 315-946-6849
Joseph Russo, DDS Dentist Medicare: Medicare Enrolled Practice Location: 47 William St, Lyons, NY 14489 Phone: 315-946-6511
Siripun Chotibut, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 52 Broad St, Lyons, NY 14489 Phone: 315-946-4656 Fax: 315-946-6849
Dr. Eric M Holmes, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1519 Nye Rd, Lyons, NY 14489 Phone: 315-871-3178 Fax: 315-946-6838
Dr. Anthony Joseph D'amico, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 20 Canal St, Lyons, NY 14489 Phone: 315-946-4000 Fax: 315-946-0263

Dr Randolph L Mitchell, DMD - Medicare Dentist in Lyons, NY