Dr Shannon Hawkley Mitchell, OD is a medicare enrolled "Optometrist" provider in Waitsfield, Vermont. He graduated from medical school in 2010 and has 14 years of diverse experience with area of expertise as Optometry. His current practice location is
5274 Main St Ste 1, Waitsfield, Vermont. You can reach out to his office (for appointments etc.) via phone at
(802) 448-6988.
Dr Shannon Hawkley Mitchell is licensed to practice in Vermont (license number 030.0068209) 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 1144551797.
Healthcare Provider's Profile
| Full Name | Dr Shannon Hawkley Mitchell |
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| Gender | Male |
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| Speciality | Optometry |
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| Experience | 14 Years |
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| Location | 5274 Main St Ste 1, Waitsfield, Vermont |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Shannon Hawkley Mitchell graduated from medical school in 2010
NPI Data:
- NPI Number: 1144551797
- Provider Enumeration Date: 01/21/2010
- Last Update Date: 10/18/2018
Medicare PECOS Information:
- PECOS PAC ID: 9032301825
- Enrollment ID: I20101012000857
Medical Identifiers
Medical identifiers for Dr Shannon Hawkley Mitchell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1144551797 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152WC0802X | Optometrist - Corneal And Contact Management | 030.0068209 (Vermont) | Secondary |
| 152W00000X | Optometrist | 030.0068209 (Vermont) | 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. Dr Shannon Hawkley Mitchell allows following entities to bill medicare on his behalf.
| Provider Name | Myeyedr Optometry Of Vermont Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1295245876
PECOS PAC ID: 4486912607
Enrollment ID: O20171218000635 |
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| Provider Name | Mad River Eye Care Pllc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1538666235
PECOS PAC ID: 9830444009
Enrollment ID: O20180613000246 |
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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. Dr Shannon Hawkley 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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Dr Shannon Hawkley Mitchell, OD
5274 Main St Ste 1,
Waitsfield, VT 05673-4445
Ph: (802) 448-6988 | Dr Shannon Hawkley Mitchell, OD
5274 Main St Ste 1,
Waitsfield, VT 05673-4445
Ph: (802) 448-6988 |
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