Dr Russell Lee Mitchell, DDS is a medicare enrolled "Dentist" provider in Graperine, Texas. His current practice location is
801 W Wall St, Graperine, Texas. You can reach out to his office (for appointments etc.) via phone at
(602) 478-6234.
Dr Russell Lee Mitchell is licensed to practice in Texas (license number 31330) 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 1588810618.
Healthcare Provider's Profile
Full Name | Dr Russell Lee Mitchell |
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Gender | Male |
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Speciality | Dentist |
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Location | 801 W Wall St, Graperine, Texas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1588810618
- Provider Enumeration Date: 08/08/2008
- Last Update Date: 07/19/2021
Medicare PECOS Information:
- PECOS PAC ID: 3173837820
- Enrollment ID: I20150808015832
Medical Identifiers
Medical identifiers for Dr Russell Lee Mitchell such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1588810618 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | D7647 (Arizona) | Secondary |
122300000X | Dentist | 31330 (Texas) | 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 Russell Lee 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 Russell Lee Mitchell, DDS 801 W Wall St, Graperine, TX 76051 Ph: (602) 478-6234 | Dr Russell Lee Mitchell, DDS 801 W Wall St, Graperine, TX 76051 Ph: (602) 478-6234 |
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