Chantelle Mims, DO in Warren, MI - Medicare Emergency Medicine

Chantelle Mims, DO is a medicare enrolled "Emergency Medicine" physician in Warren, Michigan. She graduated from medical school in 2019 and has 5 years of diverse experience with area of expertise as Emergency Medicine. She is a member of the group practice Observation Emergency Physicians Pc, Emergency Department Physicians Pc and her current practice location is 11800 E 12 Mile Rd, Warren, Michigan. You can reach out to her office (for appointments etc.) via phone at (586) 573-5000.

Chantelle Mims is licensed to practice in Michigan (license number 5151013591) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1275093114.

Contact Information

	Chantelle Mims, DO
	11800 E 12 Mile Rd, Warren, MI 48093-3472
	(586) 573-5000
	Not Available

Map and Direction

Physician's Profile

Full Name	Chantelle Mims
Gender	Female
Speciality	Emergency Medicine
Experience	5 Years
Location	11800 E 12 Mile Rd, Warren, Michigan
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Chantelle Mims graduated from medical school in 2019

NPI Data:

NPI Number: 1275093114
Provider Enumeration Date: 03/25/2019
Last Update Date: 09/29/2022

Medicare PECOS Information:

PECOS PAC ID: 6709113194
Enrollment ID: I20220803000955

Medical Identifiers

Medical identifiers for Chantelle Mims such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275093114	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	5151013591 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Ascension Macomb Oakland Hosp-warren Campus	Warren, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Observation Emergency Physicians Pc	9133292410	40
Emergency Department Physicians Pc	9436048998	63

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. Chantelle Mims allows following entities to bill medicare on her behalf.

Entity Name	Emergency Department Physicians Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225083595 PECOS PAC ID: 9436048998 Enrollment ID: O20040312000466

Entity Name	Observation Emergency Physicians Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497920524 PECOS PAC ID: 9133292410 Enrollment ID: O20080719000024

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. Chantelle Mims 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
Chantelle Mims, DO 2333 Biddle Ave, Wyandotte, MI 48192-4668 Ph: (734) 246-8004	Chantelle Mims, DO 11800 E 12 Mile Rd, Warren, MI 48093-3472 Ph: (586) 573-5000

Reviews and Comments

Emergency Medicine Doctors in Warren, MI

Domian Kandah, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 11800 E 12 Mile Rd, Warren, MI 48093 Phone: 586-573-5059
Dr. Samuel I Martisius, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 13355 E 10 Mile Rd, Warren, MI 48089 Phone: 586-759-7690
Dr. Jeffrey Lee Bargeon, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 13355 E 10 Mile Rd, Warren, MI 48089 Phone: 586-759-7310 Fax: 586-759-3099
Dr. Jeffrey Cheefai Siu, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 13355 East Ten Mile Road, Warren, MI 48089 Phone: 586-759-7690
Dr. Kristy Marie Smith, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 28800 Ryan Rd, Suite 120, Warren, MI 48092 Phone: 586-558-2860 Fax: 586-558-4624
Maureen L Dailey, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: Er Dept, 118000 E 12th Mile Road, Warren, MI 48093 Phone: 586-573-5028
Margaret Konsza, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 118000 E Twelve Mile Road, Er Department, Warren, MI 48093 Phone: 586-573-5028

Chantelle Mims, DO - Medicare Emergency Medicine in Warren, MI