Jeremiah Mitchell, is a
Physical Medicine & Rehabilitation - Sports Medicine physician based in Matteson, Illinois. Jeremiah Mitchell is licensed to practice in Illinois (license number 1385400) and his current practice location is 4450 Oakwood Ln, Matteson, Illinois. He can be reached at his office (for appointments etc.) via phone at
(708) 828-2438.
NPI number for Jeremiah Mitchell is 1447910682 and his current mailing address is 612 Goldenrod Cir, Matteson, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1447910682.
Physician's Profile
Full Name | Jeremiah Mitchell |
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Gender | Male |
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Speciality | Physical Medicine & Rehabilitation - Sports Medicine |
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Location | 4450 Oakwood Ln, Matteson, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1447910682
- Provider Enumeration Date: 12/29/2021
- Last Update Date: 12/29/2021
Medical Identifiers
Medical identifiers for Jeremiah Mitchell such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1447910682 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2081S0010X | Physical Medicine & Rehabilitation - Sports Medicine | 1385401 (Illinois) | Secondary |
2081S0010X | Physical Medicine & Rehabilitation - Sports Medicine | 1385400 (Illinois) | Primary |
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. Jeremiah Mitchell is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jeremiah Mitchell, 612 Goldenrod Cir, Matteson, IL 60443-1769 Ph: (708) 828-2438 | Jeremiah Mitchell, 4450 Oakwood Ln, Matteson, IL 60443-1825 Ph: (708) 828-2438 |
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