Paul Mitchell, MD | |
2800 Ross Clark Cir, Dothan, AL 36301-2040 | |
(334) 793-2211 | |
(334) 793-7161 |
Full Name | Paul Mitchell |
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Gender | Male |
Speciality | Ophthalmology |
Location | 2800 Ross Clark Cir, Dothan, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467458497 | NPI | - | NPPES |
1187301 | Medicaid | CT | |
106275000 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | 018730 (Connecticut) | Primary |
Entity Name | Connecticut Children's Specialty Group, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669448882 PECOS PAC ID: 6002720117 Enrollment ID: O20031113000468 |
Mailing Address | Practice Location Address |
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Paul Mitchell, MD 2800 Ross Clark Cir, Dothan, AL 36301-2040 Ph: (334) 793-2211 | Paul Mitchell, MD 2800 Ross Clark Cir, Dothan, AL 36301-2040 Ph: (334) 793-2211 |
Dr. Aric J Aldridge, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1450 Ross Clark Cir Ste 100, Dothan, AL 36301 Phone: 334-479-0043 Fax: 334-479-0048 | |
Mr. Jean Guy Fortin, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2800 Ross Clark Circle, Dothan, AL 36301 Phone: 334-793-2211 Fax: 334-793-7161 | |
Dr. Ronald P. Swendris, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2800 Ross Clark Cir, Dothan, AL 36301 Phone: 334-793-2211 Fax: 334-793-7161 | |
Dr. Harsha A. Sen, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2800 Ross Clark Cir, Dothan, AL 36301 Phone: 334-793-2211 Fax: 334-793-7161 | |
William Timothy Gannon, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2664 Hartford Hwy, Dothan, AL 36305 Phone: 334-699-2244 Fax: 334-699-2245 | |
Dr. Jorge L Arango, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 160 Healthwest Dr, Dothan, AL 36303 Phone: 334-793-2211 Fax: 334-793-7161 | |
Marius Jan Heersink, Ophthalmology Medicare: Medicare Enrolled Practice Location: 2800 Ross Clark Cir, Dothan, AL 36301 Phone: 334-793-2211 Fax: 334-793-7161 |