Dr Michael J Mitchell, MD | |
601 W Country Club Rd Ste 202, Roswell, NM 88201-5225 | |
(575) 622-2911 | |
(575) 622-2598 |
Full Name | Dr Michael J Mitchell |
---|---|
Gender | Male |
Speciality | Otolaryngology |
Experience | 35 Years |
Location | 601 W Country Club Rd Ste 202, Roswell, New Mexico |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417042730 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | MD00039985 (Washington) | Secondary |
207Y00000X | Otolaryngology | MD2020-1138 (New Mexico) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Virginia Mason Memorial | Yakima, WA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Yakima Valley Memorial Physicians | 1557391596 | 257 |
Entity Name | Peacehealth |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720056187 PECOS PAC ID: 5890689293 Enrollment ID: O20040209000272 |
Entity Name | Yakima Valley Memorial Physicians |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306933940 PECOS PAC ID: 1557391596 Enrollment ID: O20050818000714 |
Entity Name | Peacehealth |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609061969 PECOS PAC ID: 8820178288 Enrollment ID: O20080110000429 |
Mailing Address | Practice Location Address |
---|---|
Dr Michael J Mitchell, MD 601 W Country Club Rd Ste 202, Roswell, NM 88201-5225 Ph: (575) 622-2911 | Dr Michael J Mitchell, MD 601 W Country Club Rd Ste 202, Roswell, NM 88201-5225 Ph: (575) 622-2911 |
Dr. Jan Delos Hobbs, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 601 W Country Club Rd Ste 202, Roswell, NM 88201 Phone: 575-622-2911 Fax: 575-622-2598 |