Kyle Darren Mitchell, DO in Marietta, GA - Medicare Family Practice

Kyle Darren Mitchell, DO is a medicare enrolled "Family Medicine" physician in Marietta, Georgia. He went to Kansas City University Of Med & Biosciences, College Of Osteo Med and graduated in 1999 and has 25 years of diverse experience with area of expertise as Family Practice. His current practice location is 1455 Bells Ferry Road, Suite 100, Marietta, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 421-8094.

Kyle Darren Mitchell is licensed to practice in Georgia (license number 051689) 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 1316928138.

Contact Information

	Kyle Darren Mitchell, DO
	1455 Bells Ferry Road, Suite 100, Marietta, GA 30066
	(770) 421-8094
	(770) 421-8096

Map and Direction

Physician's Profile

Full Name	Kyle Darren Mitchell
Gender	Male
Speciality	Family Practice
Experience	25 Years
Location	1455 Bells Ferry Road, Marietta, Georgia
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:

Kyle Darren Mitchell attended and graduated from Kansas City University Of Med & Biosciences, College Of Osteo Med in 1999

NPI Data:

NPI Number: 1316928138
Provider Enumeration Date: 11/09/2005
Last Update Date: 03/08/2023

Medicare PECOS Information:

PECOS PAC ID: 4880682574
Enrollment ID: I20040505000320

Medical Identifiers

Medical identifiers for Kyle Darren Mitchell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316928138	NPI	-	NPPES
000967843E	Medicaid	GA
000967843I	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	051689 (Georgia)	Primary

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. Kyle Darren Mitchell allows following entities to bill medicare on his behalf.

Entity Name	Executive Medical Practice Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265136923 PECOS PAC ID: 4981066156 Enrollment ID: O20230821001082

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. Kyle Darren 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
Kyle Darren Mitchell, DO 15876 Meadow King Court, Alpharetta, GA 30004 Ph: (678) 571-7684	Kyle Darren Mitchell, DO 1455 Bells Ferry Road, Suite 100, Marietta, GA 30066 Ph: (770) 421-8094

Reviews and Comments

Family Medicine Doctors in Marietta, GA

Dr. Yen-i Grace Chen, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1010 Johnson Ferry Rd, Marietta, GA 30068 Phone: 770-579-7900 Fax: 770-579-7942
Neety Patel, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3707 Largent Way Nw, Marietta, GA 30064 Phone: 678-581-5830 Fax: 678-581-5835
Jamin Graham, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 677 Church St Ne, Marietta, GA 30060 Phone: 770-793-5000
Dr. Philip Batista, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1010 Johnson Ferry Rd, Marietta, GA 30068 Phone: 770-579-7900 Fax: 770-579-7932
Dr. Harvey David Braunfeld, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 299 Pat Mell Rd Se, Marietta, GA 30060 Phone: 770-432-5500 Fax: 770-431-8363
William Edward Snell, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 880 Canton Rd Ne, Suite 300, Marietta, GA 30060 Phone: 770-590-0585 Fax: 770-428-4087
Dr. Miles Eli Brett, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2520 Windy Hill Rd Se, Suite 301, Marietta, GA 30067 Phone: 770-952-1032 Fax: 770-952-8579

Kyle Darren Mitchell, DO - Medicare Family Practice in Marietta, GA