Jacob Robert Mitchell, in Indianapolis, IN - Medicare Diagnostic Radiology

Jacob Robert Mitchell, is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Indianapolis, Indiana. He went to Wright State University Boonshoft School Of Medicine and graduated in 2016 and has 9 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Riverside Radiology And Interventional Associates Inc and his current practice location is 1120 W Michigan St, Gatch Hall Suite Cl 627, Indianapolis, Indiana. You can reach out to his office (for appointments etc.) via phone at (330) 807-8029.

Jacob Robert Mitchell is licensed to practice in Indiana (license number 11018936A) 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 1508216813.

Contact Information

	Jacob Robert Mitchell,
	1120 W Michigan St, Gatch Hall Suite Cl 627, Indianapolis, IN 46202-5209
	(330) 807-8029
	Not Available

Map and Direction

Physician's Profile

Full Name	Jacob Robert Mitchell
Gender	Male
Speciality	Diagnostic Radiology
Experience	9 Years
Location	1120 W Michigan St, Indianapolis, Indiana
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jacob Robert Mitchell attended and graduated from Wright State University Boonshoft School Of Medicine in 2016

NPI Data:

NPI Number: 1508216813
Provider Enumeration Date: 06/16/2016
Last Update Date: 06/27/2016

Medicare PECOS Information:

PECOS PAC ID: 3870885478
Enrollment ID: I20211123001461

Medical Identifiers

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

Identifier	Type	State	Issuer
1508216813	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	11018936A (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Dublin Methodist Hospital	Dublin, OH	Hospital
Riverside Methodist Hospital	Columbus, OH	Hospital
Wyandot Memorial Hospital	Upper sandusky, OH	Hospital
Avita Ontario	Ontario, OH	Hospital
Bucyrus Community Hospital	Bucyrus, OH	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Riverside Radiology And Interventional Associates Inc	8729976964	198

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. Jacob Robert Mitchell allows following entities to bill medicare on his behalf.

Entity Name	Riverside Radiology And Interventional Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093718496 PECOS PAC ID: 8729976964 Enrollment ID: O20190912000016

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. Jacob Robert 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
Jacob Robert Mitchell, 1120 W Michigan St, Gatch Hall Suite Cl 627, Indianapolis, IN 46202-5209 Ph: (330) 807-8029	Jacob Robert Mitchell, 1120 W Michigan St, Gatch Hall Suite Cl 627, Indianapolis, IN 46202-5209 Ph: (330) 807-8029

Reviews and Comments

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Jack David Markiewicz, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 550 University Blvd, Indianapolis, IN 46202 Phone: 317-278-9729
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Mark J Paluszny, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 9998 Crosspoint Blvd Ste 200, Indianapolis, IN 46256 Phone: 317-579-2150 Fax: 317-579-2130
Angela G Pence, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 9998 Crosspoint Blvd Ste 200, Indianapolis, IN 46256 Phone: 317-579-2150 Fax: 317-579-2130
Dr. Hal D Kipfer, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1701 N Senate Blvd, Room 1204a, Indianapolis, IN 46202 Phone: 317-962-6793 Fax: 317-962-8281

Jacob Robert Mitchell, - Medicare Diagnostic Radiology in Indianapolis, IN