Jonathan Christopher Mitchell, MD | |
11102 Sunrise Blvd E, Suite 110, Puyallup, WA 98374-8846 | |
(253) 697-7350 | |
(253) 841-5962 |
Full Name | Jonathan Christopher Mitchell |
---|---|
Gender | Male |
Speciality | Obstetrics/gynecology |
Experience | 26 Years |
Location | 11102 Sunrise Blvd E, Puyallup, Washington |
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 |
---|---|---|---|
1386684405 | NPI | - | NPPES |
0141390 | Other | WA | L & I PROVIDER NUMBER |
1121MI | Other | WA | REGENCE RIDER NUMBER |
7699536 | Other | WA | AETNA PROVIDER NUMBER |
8316432 | Medicaid | WA | |
911203494BX | Other | WA | KPS PROVIDER NUMBER |
98375E004 | Other | WA | TRICARE PROVIDER NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | MD00041368 (Washington) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Multicare Health System | 7719899897 | 1689 |
Entity Name | Multicare Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497766638 PECOS PAC ID: 7719899897 Enrollment ID: O20031105000760 |
Mailing Address | Practice Location Address |
---|---|
Jonathan Christopher Mitchell, MD Po Box 40, Puyallup, WA 98371-0137 Ph: (253) 697-5502 | Jonathan Christopher Mitchell, MD 11102 Sunrise Blvd E, Suite 110, Puyallup, WA 98374-8846 Ph: (253) 697-7350 |
Mrs. Michelle Dawn Fears, WHNP Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 400 15th Ave Se, Puyallup, WA 98372 Phone: 253-697-1310 | |
Dr. Virginia O White, Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1450 5th St Se Ste 3200, Puyallup, WA 98372 Phone: 253-697-3550 | |
Laurie J Morris, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1701 3rd St Se, Suite 200, Puyallup, WA 98372 Phone: 253-840-4444 Fax: 253-840-5239 | |
Victor L Obregon, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1703 S Meridian Ste 103, Puyallup, WA 98371 Phone: 253-848-2453 | |
Sam Hwa Song, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1408 3rd St Se, 150 & 200, Puyallup, WA 98372 Phone: 253-697-3550 | |
Bruce D Romig, Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 520 14th Ave Se, Puyallup, WA 98372 Phone: 253-845-1962 Fax: 253-770-8640 |