Teri Mitchell, DDS in San Francisco, CA - Medicare Dentist Provider

Teri Mitchell, DDS is a medicare enrolled "Dentist" provider in San Francisco, California. Her current practice location is 155 5th St, San Francisco, California. You can reach out to her office (for appointments etc.) via phone at (415) 929-6501.

Teri Mitchell is licensed to practice in California (license number 107894) 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 1154041168.

Contact Information

	Teri Mitchell, DDS
	155 5th St, San Francisco, CA 94103-2919
	(415) 929-6501
	Not Available

Healthcare Provider's Profile

Full Name	Teri Mitchell
Gender	Female
Speciality	Dentist
Location	155 5th St, San Francisco, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154041168
Provider Enumeration Date: 08/30/2022
Last Update Date: 08/30/2022

Medicare PECOS Information:

PECOS PAC ID: 4385029800
Enrollment ID: I20220920002916

Medical Identifiers

Medical identifiers for Teri Mitchell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154041168	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	107894 (California)	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. Teri 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
Teri Mitchell, DDS 5450 Bacon Rd, Oakland, CA 94619-3164 Ph: (410) 501-0846	Teri Mitchell, DDS 155 5th St, San Francisco, CA 94103-2919 Ph: (415) 929-6501

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Teri Mitchell, DDS - Medicare Dentist in San Francisco, CA