Baker A Mitchell Iii, MD is a medicare enrolled "Anesthesiology - Pain Medicine" physician in Panama City Beach, Florida. He went to University Of Texas Medical School At San Antonio and graduated in 2005 and has 19 years of diverse experience with area of expertise as Pain Management. He is a member of the group practice Dynamic Pain And Wellness Pllc and his current practice location is
100 N Richard Jackson Blvd Ste 120, Panama City Beach, Florida. You can reach out to his office (for appointments etc.) via phone at
(850) 226-6801.
Baker A Mitchell Iii is licensed to practice in Florida (license number ME134995) 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 1932113735.
Physician's Profile
| Full Name | Baker A Mitchell Iii |
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| Gender | Male |
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| Speciality | Pain Management |
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| Experience | 19 Years |
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| Location | 100 N Richard Jackson Blvd Ste 120, Panama City Beach, Florida |
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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:
- Baker A Mitchell Iii attended and graduated from University Of Texas Medical School At San Antonio in 2005
NPI Data:
- NPI Number: 1932113735
- Provider Enumeration Date: 07/28/2006
- Last Update Date: 01/31/2019
Medicare PECOS Information:
- PECOS PAC ID: 2264557289
- Enrollment ID: I20180222001927
Medical Identifiers
Medical identifiers for Baker A Mitchell Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1932113735 | NPI | - | NPPES |
| 286138701 | Medicaid | TX | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207L00000X | Anesthesiology | 254963 (New York) | Secondary |
| 207L00000X | Anesthesiology | P1108 (Texas) | Secondary |
| 207LP2900X | Anesthesiology - Pain Medicine | P1108 (Texas) | Secondary |
| 207LP2900X | Anesthesiology - Pain Medicine | ME134995 (Florida) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Dynamic Pain And Wellness Pllc | 8527364058 | 38 |
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. Baker A Mitchell Iii allows following entities to bill medicare on his behalf.
| Entity Name | Dynamic Pain & Wellness Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1285007989
PECOS PAC ID: 8527364058
Enrollment ID: O20160310000011 |
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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. Baker A Mitchell Iii 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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Baker A Mitchell Iii, MD
345 Flatwoods Forest Loop,
Santa Rosa Beach, FL 32459-8843
Ph: (210) 884-3779 | Baker A Mitchell Iii, MD
100 N Richard Jackson Blvd Ste 120,
Panama City Beach, FL 32407
Ph: (850) 226-6801 |
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