Angela Gail Mitchell, FNP-C in Southaven, MS - Medicare Nurse Practitioner

Angela Gail Mitchell, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Southaven, Mississippi. Her current practice location is 401 Southcrest Cir Ste 104, Southaven, Mississippi. You can reach out to her office (for appointments etc.) via phone at (901) 763-3636.

Angela Gail Mitchell is licensed to practice in Mississippi (license number 904119) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1205521028.

Contact Information

	Angela Gail Mitchell, FNP-C
	401 Southcrest Cir Ste 104, Southaven, MS 38671-6712
	(901) 763-3636
	Not Available

Map and Direction

Provider's Profile

Full Name	Angela Gail Mitchell
Gender	Female
Speciality	Nurse Practitioner - Family
Location	401 Southcrest Cir Ste 104, Southaven, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205521028
Provider Enumeration Date: 04/07/2023
Last Update Date: 06/10/2024

Medicare PECOS Information:

PECOS PAC ID: 9234588278
Enrollment ID: I20231215000865

Medical Identifiers

Medical identifiers for Angela Gail Mitchell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205521028	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	904119 (Mississippi)	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. Angela Gail Mitchell allows following entities to bill medicare on her behalf.

Entity Name	Ivyraine Womens Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962166264 PECOS PAC ID: 4284025388 Enrollment ID: O20211228001812

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. Angela Gail 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
Angela Gail Mitchell, FNP-C 965 Ridge Lake Blvd Ste 315, Memphis, TN 38120-9401 Ph: (901) 227-8693	Angela Gail Mitchell, FNP-C 401 Southcrest Cir Ste 104, Southaven, MS 38671-6712 Ph: (901) 763-3636

Reviews and Comments

Nurse Practitioner Nurses in Southaven, MS

Mr. Nathaniel Levi Bump, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7900 Airways Blvd Ste 6, Southaven, MS 38671 Phone: 662-470-7549 Fax: 269-906-2006
Ms. Sherlean D Shugars, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2149 Stateline Rd W, Southaven, MS 38671 Phone: 662-342-1112
Penny Marie Holley, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3964 Goodman Rd E Ste 128-129, Southaven, MS 38672 Phone: 662-655-0456 Fax: 662-655-0457
Christopher Gully, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 363 Southcrest Cir Ste 202, Southaven, MS 38671 Phone: 901-226-0456 Fax: 901-226-0458
Mrs. Christy Le Anne Egbert, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 122 Airways Pl, Southaven, MS 38671 Phone: 662-349-9990 Fax: 662-349-2620
Misty Burton, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 391 Southcrest Cir, Southaven, MS 38671 Phone: 662-349-2659
Rebecca Holly T Robertson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 122 Airways Pl, Southaven, MS 38671 Phone: 662-349-9990 Fax: 662-349-2620

Angela Gail Mitchell, FNP-C - Medicare Nurse Practitioner in Southaven, MS