Idol Ray Mitchell, DPM | |
437 East Grant Street, Macomb, IL 61455-3352 | |
(309) 837-3964 | |
(309) 837-3966 |
Full Name | Idol Ray Mitchell |
---|---|
Gender | Male |
Speciality | |
Experience | Years |
Location | 437 East Grant Street, Macomb, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508850694 | NPI | - | NPPES |
4452210001 | Other | DMERC | |
480034728 | Other | RAILROAD MEDICARE PROV # | |
016004683 | Medicaid | IL | |
214428 | Other | IL | MEDICARE ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | 016-004683 (Illinois) | Primary |
Mailing Address | Practice Location Address |
---|---|
Idol Ray Mitchell, DPM 437 East Grant Street, Macomb, IL 61455-3352 Ph: (309) 837-3964 | Idol Ray Mitchell, DPM 437 East Grant Street, Macomb, IL 61455-3352 Ph: (309) 837-3964 |
Idol R Mitchell Dpm Pc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 437 East Grant Street, Macomb, IL 61455 Phone: 309-837-3964 Fax: 309-837-3966 | |
Dr. Max Ronald Rexroat, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 437 E Grant St, Macomb, IL 61455 Phone: 309-837-3964 Fax: 309-837-3966 | |
Max R Rexroat, Dpm, Ltd Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 437 E Grant St, Macomb, IL 61455 Phone: 309-837-3964 | |