Mr Phillip Dakotah Mitchell, is a medicare enrolled "Physician Assistant" in Lr Afb, Arkansas. His current practice location is
1090 Arnold Dr, Lr Afb, Arkansas. You can reach out to his office (for appointments etc.) via phone at
(501) 987-3080.
Mr Phillip Dakotah Mitchell is licensed to practice in New York (license number 025056) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1376037424.
Provider's Profile
Full Name | Mr Phillip Dakotah Mitchell |
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Gender | Male |
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Speciality | Physician Assistant |
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Location | 1090 Arnold Dr, Lr Afb, Arkansas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1376037424
- Provider Enumeration Date: 06/20/2018
- Last Update Date: 04/05/2022
Medicare PECOS Information:
- PECOS PAC ID: 2668868829
- Enrollment ID: I20220415000827
Medical Identifiers
Medical identifiers for Mr Phillip Dakotah Mitchell such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1376037424 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 025056 (New York) | Primary |
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. Mr Phillip Dakotah 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 |
Mr Phillip Dakotah Mitchell, 1090 Arnold Dr, Lr Afb, AR 72099-4933 Ph: (501) 987-3080 | Mr Phillip Dakotah Mitchell, 1090 Arnold Dr, Lr Afb, AR 72099-4933 Ph: (501) 987-3080 |
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