Karissa Mitchell, FNP in Phoenix, AZ - Medicare Nurse Practitioner

Karissa Mitchell, FNP is a medicare enrolled "Nurse Practitioner - Family" in Phoenix, Arizona. Her current practice location is 1012 E Willetta St, Phoenix, Arizona. You can reach out to her office (for appointments etc.) via phone at (602) 839-6040.

Karissa Mitchell is licensed to practice in Arizona (license number 292963) 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 1053095240.

Contact Information

	Karissa Mitchell, FNP
	1012 E Willetta St, Phoenix, AZ 85006-2749
	(602) 839-6040
	Not Available

Map and Direction

Provider's Profile

Full Name	Karissa Mitchell
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1012 E Willetta St, Phoenix, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053095240
Provider Enumeration Date: 06/09/2023
Last Update Date: 06/09/2023

Medicare PECOS Information:

PECOS PAC ID: 4587016217
Enrollment ID: I20240118002430

Medical Identifiers

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

Identifier	Type	State	Issuer
1053095240	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	292963 (Arizona)	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. Karissa Mitchell allows following entities to bill medicare on her behalf.

Entity Name	Wound Care Physicians Of Arizona Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467096065 PECOS PAC ID: 7315369337 Enrollment ID: O20200622000540

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. Karissa 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
Karissa Mitchell, FNP 1012 E Willetta St, Phoenix, AZ 85006-2749 Ph: () -	Karissa Mitchell, FNP 1012 E Willetta St, Phoenix, AZ 85006-2749 Ph: (602) 839-6040

Reviews and Comments

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Karissa Mitchell, FNP - Medicare Nurse Practitioner in Phoenix, AZ