Jared D Mitchell, MD | |
1306 Maple St, Eldorado, IL 62930-1662 | |
(618) 297-9665 | |
(618) 297-9638 |
Full Name | Jared D Mitchell |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 9 Years |
Location | 1306 Maple St, Eldorado, Illinois |
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 |
---|---|---|---|
1760864987 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 11018503A (Indiana) | Secondary |
207Q00000X | Family Medicine | 01077168A (Indiana) | Secondary |
207Q00000X | Family Medicine | 036.163741 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lbn Residential Home Health Of Southern Illinois | Marion, IL | Home health agency |
Ferrell Hospital Community Foundations | Eldorado, IL | Hospital |
Ascension St Vincent Evansville | Evansville, IN | Hospital |
Deaconess Hospital Inc | Evansville, IN | Hospital |
Harrisburg Medical Center | Harrisburg, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ferrell Hospital Community Foundation | 1355389453 | 46 |
Entity Name | Ferrell Hospital Community Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194713404 PECOS PAC ID: 1355389453 Enrollment ID: O20090630000256 |
Mailing Address | Practice Location Address |
---|---|
Jared D Mitchell, MD 1201 Pine St, Eldorado, IL 62930-1634 Ph: () - | Jared D Mitchell, MD 1306 Maple St, Eldorado, IL 62930-1662 Ph: (618) 297-9665 |
Luke Tyler Hall, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1407 Locust St, Eldorado, IL 62930 Phone: 618-273-3361 | |
Dr. Kimball Ewell, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1007 Us Route 45, Eldorado, IL 62930 Phone: 618-273-7723 Fax: 618-273-3384 | |
Samantha Mosby, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 1306 Maple St, Eldorado, IL 62930 Phone: 618-273-3361 | |
Craig V Svoboda, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 607 4th St, Eldorado Rural Health Clinic, Eldorado, IL 62930 Phone: 618-273-2951 Fax: 618-273-2712 | |
Dr. Andrea Miller, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1007 Us Route 45, Eldorado, IL 62930 Phone: 618-273-7723 Fax: 618-273-3384 | |
Nathan Oldham, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1201 Pine St, Eldorado, IL 62930 Phone: 618-297-9665 Fax: 618-297-9664 |