William Clay Mitchell Iii, MD | |
620 Skyline Dr, Jackson, TN 38301-3923 | |
(731) 541-5000 | |
Not Available |
Full Name | William Clay Mitchell Iii |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 10 Years |
Location | 620 Skyline Dr, Jackson, Tennessee |
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 |
---|---|---|---|
1245646587 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | ME129135 (Florida) | Secondary |
207Q00000X | Family Medicine | 59406 (Tennessee) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Melbourne Regional Medical Center | Melbourne, FL | Hospital |
Steward Sebastian River Medical Center | Sebastian, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Melbourne Emergency Group, Llc | 2860783925 | 10 |
Mid-florida Emergency Physicians, Llc | 8426213596 | 13 |
Entity Name | Mid-florida Emergency Physicians, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558630152 PECOS PAC ID: 8426213596 Enrollment ID: O20120625000057 |
Entity Name | Melbourne Emergency Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932562915 PECOS PAC ID: 2860783925 Enrollment ID: O20160620002409 |
Mailing Address | Practice Location Address |
---|---|
William Clay Mitchell Iii, MD 620 Skyline Dr, Jackson, TN 38301-3923 Ph: () - | William Clay Mitchell Iii, MD 620 Skyline Dr, Jackson, TN 38301-3923 Ph: (731) 541-5000 |
Parker Panovec, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2859 Highway 45 Byp, Jackson, TN 38305 Phone: 731-660-8360 Fax: 731-664-7928 | |
Michael James Martin, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 294 Summar Dr, Jackson, TN 38301 Phone: 731-423-1932 Fax: 731-410-0367 | |
Melissa A Robbins, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 294 Summar Drive, Jackson, TN 38301 Phone: 731-423-1932 Fax: 731-423-4919 | |
Dr. Ezekiel Oladejo Adetunji, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 150 Murray Guard Dr, Jackson, TN 38305 Phone: 731-300-3168 Fax: 731-300-3169 | |
Kenneth R. Warren, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 31 Physicians Dr, Suite 1, Jackson, TN 38305 Phone: 731-664-0103 Fax: 731-664-5666 | |
Anna Elizabeth Glass Burgess, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2863 Highway 45 Byp, Jackson, TN 38305 Phone: 731-664-1375 Fax: 731-664-1378 | |
Christopher Reyes Caangay, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 294 Summar Dr, Jackson, TN 38301 Phone: 731-541-3755 |