Dr Edwin Kyle Mitchell, OD in Hartsville, SC - Medicare Optometry Provider

Dr Edwin Kyle Mitchell, OD is a medicare enrolled "Optometrist" provider in Hartsville, South Carolina. He graduated from medical school in 2011 and has 13 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Eyes Over Carolina Pc and his current practice location is 1150 S 4th St, Hartsville, South Carolina. You can reach out to his office (for appointments etc.) via phone at (843) 857-1999.

Dr Edwin Kyle Mitchell is licensed to practice in South Carolina (license number 1696) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1700132719.

Contact Information

	Dr Edwin Kyle Mitchell, OD
	1150 S 4th St, Hartsville, SC 29550-0705
	(843) 857-1999
	(843) 383-8951

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Edwin Kyle Mitchell
Gender	Male
Speciality	Optometry
Experience	13 Years
Location	1150 S 4th St, Hartsville, South Carolina
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Edwin Kyle Mitchell graduated from medical school in 2011

NPI Data:

NPI Number: 1700132719
Provider Enumeration Date: 07/27/2012
Last Update Date: 04/16/2015

Medicare PECOS Information:

PECOS PAC ID: 8325290042
Enrollment ID: I20121204000185

Medical Identifiers

Medical identifiers for Dr Edwin Kyle Mitchell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700132719	NPI	-	NPPES
D16962	Medicaid	SC
SC3405	Other	SC	MEDICARE PTAN HV
SC0144	Other	SC	MEDICARE PTAN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	1696 (South Carolina)	Primary
152WC0802X	Optometrist - Corneal And Contact Management	1696 (South Carolina)	Secondary
152WP0200X	Optometrist - Pediatrics	1696 (South Carolina)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Eyes Over Carolina Pc	6002125838	2

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. Dr Edwin Kyle Mitchell allows following entities to bill medicare on his behalf.

Provider Name	Eyes Over Carolina Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1861803520 PECOS PAC ID: 6002125838 Enrollment ID: O20151019001466

Provider Name	Bergelt Optometric Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1386002467 PECOS PAC ID: 5092007666 Enrollment ID: O20160630001588

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. Dr Edwin Kyle 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
Dr Edwin Kyle Mitchell, OD 316 Winding Wood Cir, Blythewood, SC 29016-7843 Ph: (803) 776-5363	Dr Edwin Kyle Mitchell, OD 1150 S 4th St, Hartsville, SC 29550-0705 Ph: (843) 857-1999

Reviews and Comments

Optometrist in Hartsville, SC

Dr. Jordi S. Jones, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 122 S 4th St, Hartsville, SC 29550 Phone: 843-332-8323
Jones Family Eyecare, Pc Optometrist Medicare: Medicare Enrolled Practice Location: 122 S 4th St, Hartsville, SC 29550 Phone: 843-332-8323
William Alexander, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 504 S 4th St, Hartsville, SC 29550 Phone: 843-332-7171 Fax: 843-332-7802
Theodore W Newman, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 504 S 4th St, Hartsville, SC 29550 Phone: 843-664-9393
Dr. Stephen Keith Flowers, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 504 S 4th St, Hartsville, SC 29550 Phone: 843-332-7171 Fax: 843-332-7802
Danny A Burns Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1150 South Fourth St, Hartsville, SC 29550 Phone: 843-383-2858 Fax: 843-383-8951
Dr. Howard Webster Tucker Jr., O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 504 S 4th St, Hartsville, SC 29550 Phone: 843-332-7171 Fax: 843-332-7802

Dr Edwin Kyle Mitchell, OD - Medicare Optometrist in Hartsville, SC