Jerry Mitchell, MD | |
2315 Wildcat Run Ct, Powell, OH 43065-5112 | |
(614) 406-1926 | |
Not Available |
Full Name | Jerry Mitchell |
---|---|
Gender | Male |
Speciality | Internal Medicine - Medical Oncology |
Location | 2315 Wildcat Run Ct, Powell, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750339651 | NPI | - | NPPES |
2425763 | Medicaid | OH | |
000000288885 | Other | OH | ANTHEM BC/BS |
3600950 | Other | OH | UNITED HEALTHCARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RH0002X | Internal Medicine - Hospice And Palliative Medicine | 35082344 (Ohio) | Secondary |
207RX0202X | Internal Medicine - Medical Oncology | 35082344 (Ohio) | Primary |
Entity Name | Grady Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235174327 PECOS PAC ID: 1254314586 Enrollment ID: O20040609000353 |
Entity Name | Mercy Health Physicians Lima Specialty Care Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518589803 PECOS PAC ID: 7012332364 Enrollment ID: O20200803002433 |
Mailing Address | Practice Location Address |
---|---|
Jerry Mitchell, MD 2315 Wildcat Run Ct, Powell, OH 43065-5112 Ph: (614) 406-1926 | Jerry Mitchell, MD 2315 Wildcat Run Ct, Powell, OH 43065-5112 Ph: (614) 406-1926 |
Dr. Karen K Agrawal, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 10173 Chelton Wood, 4330, Powell, OH 43065 Phone: 614-569-9258 | |
Richard R Mason, D.O. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 10034 Brewster Ln, Powell, OH 43065 Phone: 614-761-0555 Fax: 614-761-8937 | |
Dr. Joddi M. Neff-massullo, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 15 S Liberty St, Powell, OH 43065 Phone: 614-800-7095 Fax: 614-350-3890 | |
Dr. John Jeffrey Burnich, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 905 Retreat Ln, Powell, OH 43065 Phone: 614-841-9286 |