Mr Mark Edward Mitchell, MD in Ketchikan, AK

Mr Mark Edward Mitchell, MD is a medicare enrolled "Family Medicine" physician in Ketchikan, Alaska. His current practice location is 2960 Tongass Avenue, Ketchikan, Alaska. You can reach out to his office (for appointments etc.) via phone at (907) 228-4900.

Mr Mark Edward Mitchell is licensed to practice in Utah (license number 2681761205) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1689634479.

Contact Information

	Mr Mark Edward Mitchell, MD
	2960 Tongass Avenue, Ketchikan, AK 99901-5742
	(907) 228-4900
	(800) 852-3264

Map and Direction

Physician's Profile

Full Name	Mr Mark Edward Mitchell
Gender	Male
Speciality	Family Medicine
Location	2960 Tongass Avenue, Ketchikan, Alaska
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1689634479
Provider Enumeration Date: 03/24/2006
Last Update Date: 07/01/2016

Medicare PECOS Information:

PECOS PAC ID: 4183643372
Enrollment ID: I20080430000375

Medical Identifiers

Medical identifiers for Mr Mark Edward Mitchell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689634479	NPI	-	NPPES
52588084	Medicaid	NM
82071365	Medicaid	CO
D0289	Medicaid	UT
314804	Medicaid	AZ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	2681761205 (Utah)	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. Mr Mark Edward Mitchell allows following entities to bill medicare on his behalf.

Entity Name	Dhhs Phs Naihs Shiprock Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780639971 PECOS PAC ID: 0749193837 Enrollment ID: O20031105000809

Entity Name	Cherokee Nation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780692723 PECOS PAC ID: 5799698742 Enrollment ID: O20031106000628

Entity Name	Ketchikan Indian Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821120486 PECOS PAC ID: 8426043761 Enrollment ID: O20050623000335

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. Mr Mark Edward 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
Mr Mark Edward Mitchell, MD 2960 Tongass Avenue, Ketchikan, AK 99901-5742 Ph: (907) 228-4900	Mr Mark Edward Mitchell, MD 2960 Tongass Avenue, Ketchikan, AK 99901-5742 Ph: (907) 228-4900

Reviews and Comments

Family Medicine Doctors in Ketchikan, AK

V Malurkar Anthes, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3524 Tongass Ave, Ketchikan, AK 99901 Phone: 907-225-9830 Fax: 907-225-9840
Kathryn Lynn Price, M.D Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2960 Tongass Ave, Ketchikan, AK 99901 Phone: 907-228-4900 Fax: 800-852-3264
Diane L Liljegren, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3100 Tongass Ave, Ketchikan, AK 99901 Phone: 907-228-8140 Fax: 907-228-8440
Dr. Robert Randall Gibson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 212 Carlanna Lake Rd Ste 100, Ketchikan, AK 99901 Phone: 907-228-8140
Andrew D Pankow, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3100 Tongass Ave, Ketchikan, AK 99901 Phone: 907-228-8140 Fax: 907-228-8440
Jeanne Marie Snyder, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1621 Tongass Ave, Suite 304, Ketchikan, AK 99901 Phone: 907-225-6699 Fax: 907-247-1199

Mr Mark Edward Mitchell, MD - Medicare Family Medicine in Ketchikan, AK