Kirby Mitchell, RD in Southern Pines, NC - Medicare Dietitian, Registered Provider

Kirby Mitchell, RD is a medicare enrolled "Dietitian, Registered" provider in Southern Pines, North Carolina. Her current practice location is 760c Nw Broad St, Southern Pines, North Carolina. You can reach out to her office (for appointments etc.) via phone at (919) 895-0755.

Kirby Mitchell is licensed to practice in North Carolina (license number L005596) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1093464323.

Contact Information

	Kirby Mitchell, RD
	760c Nw Broad St, Southern Pines, NC 28387-4102
	(919) 895-0755
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kirby Mitchell
Gender	Female
Speciality	Dietitian, Registered
Location	760c Nw Broad St, Southern Pines, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093464323
Provider Enumeration Date: 03/23/2022
Last Update Date: 03/23/2022

Medicare PECOS Information:

PECOS PAC ID: 6709258031
Enrollment ID: I20230214000918

Medical Identifiers

Medical identifiers for Kirby Mitchell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093464323	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	L005596 (North Carolina)	Primary

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. Kirby Mitchell allows following entities to bill medicare on her behalf.

Provider Name	Empowered Nutrition Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1497337513 PECOS PAC ID: 3476958240 Enrollment ID: O20210818000673

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. Kirby 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
Kirby Mitchell, RD 100 Fontana Lake Rd, Aberdeen, NC 28315-2030 Ph: (919) 895-0755	Kirby Mitchell, RD 760c Nw Broad St, Southern Pines, NC 28387-4102 Ph: (919) 895-0755

Reviews and Comments

Dietitian, Registered in Southern Pines, NC

Erin Skinner, RD Dietitian Medicare: Medicare Enrolled Practice Location: 760c Nw Broad St, Southern Pines, NC 28387 Phone: 916-431-0236 Fax: 916-431-0236
Rachel Leigh Gary, RDN, LDN Dietitian Medicare: Medicare Enrolled Practice Location: 760c Nw Broad St, Southern Pines, NC 28387 Phone: 916-431-0236
Melissa Renae Teel, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 760c Nw Broad St, Southern Pines, NC 28387 Phone: 916-800-7326
Denise Maria Pavletic, MPH, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 124 Plantation Dr, Southern Pines, NC 28387 Phone: 919-618-8523

Kirby Mitchell, RD - Medicare Dietitian in Southern Pines, NC