Kristofer J Mitchell, MD in Springfield, IL - Medicare Critical Care (intensivists)

Kristofer J Mitchell, MD is a medicare enrolled "Surgery" physician in Springfield, Illinois. He went to Southern Illinois University School Of Medicine and graduated in 2002 and has 22 years of diverse experience with area of expertise as Critical Care (intensivists). He is a member of the group practice Intensive Care Consortium Inc, Urgent Specialty Associates Of Utah Pllc and his current practice location is 800 N 1st St, Springfield, Illinois. You can reach out to his office (for appointments etc.) via phone at (217) 528-7541.

Kristofer J Mitchell is licensed to practice in Illinois (license number 036120394) 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 1205040664.

Contact Information

	Kristofer J Mitchell, MD
	800 N 1st St, Springfield, IL 62702-3719
	(217) 528-7541
	Not Available

Map and Direction

Physician's Profile

Full Name	Kristofer J Mitchell
Gender	Male
Speciality	Critical Care (intensivists)
Experience	22 Years
Location	800 N 1st St, Springfield, 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.

Medical Education and Training:

Kristofer J Mitchell attended and graduated from Southern Illinois University School Of Medicine in 2002

NPI Data:

NPI Number: 1205040664
Provider Enumeration Date: 05/09/2007
Last Update Date: 01/31/2022

Medicare PECOS Information:

PECOS PAC ID: 0648342600
Enrollment ID: I20140305001054

Medical Identifiers

Medical identifiers for Kristofer J Mitchell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205040664	NPI	-	NPPES
036120394	Medicaid	IL
R01662	Other	IL	MEDICARE PTAN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2086S0102X	Surgery - Surgical Critical Care	036120394 (Illinois)	Secondary
2086S0127X	Surgery - Trauma Surgery	036120394 (Illinois)	Secondary
208600000X	Surgery	036120394 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Mark's Hospital	Salt lake city, UT	Hospital
Lone Peak Hospital	Draper, UT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Intensive Care Consortium Inc	0244269413	376
Urgent Specialty Associates Of Utah Pllc	3476904442	4

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. Kristofer J Mitchell allows following entities to bill medicare on his behalf.

Entity Name	Physician Group Of Utah Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477676930 PECOS PAC ID: 8022032234 Enrollment ID: O20060113000886

Entity Name	Intensive Care Consortium Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629019062 PECOS PAC ID: 0244269413 Enrollment ID: O20160210001913

Entity Name	Urgent Specialty Associates Of Utah Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992587778 PECOS PAC ID: 3476904442 Enrollment ID: O20240104001273

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. Kristofer J 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
Kristofer J Mitchell, MD 1025 S 6th St, Springfield, IL 62703-2403 Ph: (217) 528-7541	Kristofer J Mitchell, MD 800 N 1st St, Springfield, IL 62702-3719 Ph: (217) 528-7541

Reviews and Comments

Surgery Doctors in Springfield, IL

Dr. Emily Catherine Sturm, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 315 W Carpenter St Fl 2, Springfield, IL 62702 Phone: 217-545-8000
Mark Kuhnke, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 900 N 1st Street, Springfield, IL 62702 Phone: 217-528-7541 Fax: 217-528-7543
Teah Qvavadze, MD Surgery Medicare: Medicare Enrolled Practice Location: 747 N Rutledge St Fl 4, Springfield, IL 62702 Phone: 217-545-8000 Fax: 217-545-1622
Dr. Krista Michelle Bonney, MD Surgery Medicare: Medicare Enrolled Practice Location: 701 N 1st St, Springfield, IL 62781 Phone: 217-788-3000
Dr. Emmanuel Ifeanyichukwu Ohaa, MBCHB, MPH Surgery Medicare: Medicare Enrolled Practice Location: 701 N 1st St Ste D308, Springfield, IL 62702 Phone: 217-545-4401 Fax: 217-545-1793
Dr. Melanie Lynne Barnard, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 701 N 1st St Ste D308, Springfield, IL 62702 Phone: 217-545-4401 Fax: 217-545-2586
Dr. Fillip Komornik, MD Surgery Medicare: Medicare Enrolled Practice Location: 701 N 1st St # D346, Springfield, IL 62702 Phone: 217-545-8444

Kristofer J Mitchell, MD - Medicare Critical Care (intensivists) in Springfield, IL