Russell Mitchell, - Medicare Emergency Medicine in Roswell, GA

Russell Mitchell, is a medicare enrolled "Emergency Medicine" physician in Roswell, Georgia. His current practice location is 3000 Hospital Blvd, Roswell, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 751-2567.

Russell Mitchell is licensed to practice in Georgia (license number 043431) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1750481925.

Contact Information

Russell Mitchell,
3000 Hospital Blvd,
Roswell, GA 30076-4915
(770) 751-2567
Not Available



Physician's Profile

Full NameRussell Mitchell
GenderMale
SpecialityEmergency Medicine
Location3000 Hospital Blvd, Roswell, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1750481925
  • Provider Enumeration Date: 09/25/2006
  • Last Update Date: 12/15/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 4284729377
  • Enrollment ID: I20071004000463

Medical Identifiers

Medical identifiers for Russell Mitchell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750481925NPI-NPPES
000741782BMedicaidGA
000741782DMedicaidGA
000741782EMedicaidGA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 043431 (Georgia)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. Russell Mitchell allows following entities to bill medicare on his behalf.
Entity NameNorthside Emergency Associates, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285686303
PECOS PAC ID: 9335135144
Enrollment ID: O20040426000165

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Entity NameGwinnett Emergency Specialists Observation Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720373129
PECOS PAC ID: 7618140955
Enrollment ID: O20111101000364

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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. Russell 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 AddressPractice Location Address
Russell Mitchell,
5665 New Northside Dr Nw,
Atlanta, GA 30328-5831

Ph: (770) 874-5400
Russell Mitchell,
3000 Hospital Blvd,
Roswell, GA 30076-4915

Ph: (770) 751-2567

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Emergency Medicine Doctors in Roswell, GA

Yevheniy Lider, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3000 Hospital Blvd, Roswell, GA 30076
Phone: 770-751-2500    
Michael Lipscomb,
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 3000 Hospital Blvd, Roswell, GA 30076
Phone: 770-751-2567    
Damon C. Kimes, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1300 Upper Hembree Rd Ste B, Roswell, GA 30076
Phone: 678-736-7680    Fax: 888-537-5362
Samuel Lorenzo, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1360 Upper Hembree Rd, Suite 100, Roswell, GA 30076
Phone: 678-672-5100    Fax: 678-672-5101
Charles V Pollack Jr., MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1120 Wilde Run Ct, Roswell, GA 30075
Phone: 610-329-2986    Fax: 888-959-8345
Dr. Lisa M Perez, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 303 Bombay Ln, Roswell, GA 30076
Phone: 678-869-5158    Fax: 678-869-5159
Jonathan Mills,
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 3000 Hospital Blvd, Roswell, GA 30076
Phone: 770-751-2567    

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