| Percy D Mitchell Jr M D & Associates Llc | |
|
1045 Summitt Sq Middletown OH 45042-3464 | |
| (513) 727-1987 | |
| (513) 727-0918 |
| Full Name | Percy D Mitchell Jr M D & Associates Llc |
|---|---|
| Speciality | Counselor |
| Location | 1045 Summitt Sq, Middletown, Ohio |
| Authorized Official Name and Position | Percy David Mitchell (PRESIDENT) |
| Authorized Official Contact | 5137271987 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Percy D Mitchell Jr M D & Associates Llc 1045 Summitt Sq Middletown OH 45042-3464 Ph: (513) 727-1987 | Percy D Mitchell Jr M D & Associates Llc 1045 Summitt Sq Middletown OH 45042-3464 Ph: (513) 727-1987 |
| NPI Number | 1316099674 |
|---|---|
| Provider Enumeration Date | 01/17/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 9133226145 |
|---|---|
| Medicare Enrollment ID | O20070525000005 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316099674 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 35-035446 (Ohio) | Primary |
| Provider Name | Melissa J Renner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316005002 PECOS PAC ID: 0840213823 Enrollment ID: I20060104000981 |
| Provider Name | Percy D Mitchell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326106436 PECOS PAC ID: 4587697271 Enrollment ID: I20070606000028 |
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