Sally Ann Mitchell, CAA is a medicare enrolled "Anesthesiologist Assistant" in Joplin, Missouri. Her current practice location is
1102 W 32nd St, Joplin, Missouri. You can reach out to her office (for appointments etc.) via phone at
(417) 347-5222.
Sally Ann Mitchell is licensed to practice in Missouri (license number 2024023954) 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 1265517601.
Provider's Profile
| Full Name | Sally Ann Mitchell |
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| Gender | Female |
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| Speciality | Anesthesiologist Assistant |
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| Location | 1102 W 32nd St, Joplin, Missouri |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1265517601
- Provider Enumeration Date: 10/26/2006
- Last Update Date: 09/18/2024
Medicare PECOS Information:
- PECOS PAC ID: 5092980847
- Enrollment ID: I20161219002145
Medical Identifiers
Medical identifiers for Sally Ann Mitchell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1265517601 | NPI | - | NPPES |
| 100000298B | Medicaid | DC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367H00000X | Anesthesiologist Assistant | 003351 (Georgia) | Secondary |
| 367H00000X | Anesthesiologist Assistant | 75000008A (Indiana) | Secondary |
| 367H00000X | Anesthesiologist Assistant | 2024023954 (Missouri) | 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. Sally Ann Mitchell allows following entities to bill medicare on her behalf.
| Entity Name | Iu Anesthesiology Associates-pediatrics, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1083651335
PECOS PAC ID: 5698770527
Enrollment ID: O20060927000033 |
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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. Sally Ann 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 |
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Sally Ann Mitchell, CAA
Fpho Managed Care, 1102 West 32nd Street,
Joplin, MO 64804
Ph: () - | Sally Ann Mitchell, CAA
1102 W 32nd St,
Joplin, MO 64804-3503
Ph: (417) 347-5222 |
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