Idol Ray Mitchell is a Macomb, Illinois based male podiatrist with 32 years of experience in Podiatry. He completed his graduation from College Of Podiatric Med And Surgery, Des Moines University in 1992. He is also affiliated with hospitals like Mc Donough District Hospital. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Idol Ray Mitchell for Podiatry is 016-004683 in Illinois. Idol Ray Mitchell is qualified with a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. He diagnose and treat foot diseases and deformities. He can perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Complete Profile:
Idol Ray Mitchell speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Podiatrist
Credentials:
DPM
Experience:
32+ years
Medical School Attended:
College Of Podiatric Med And Surgery, Des Moines University
Graduation Year:
1992
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
437 East Grant Street, Macomb, Illinois, 61455-3352
Phone:
309-837-3964
Fax:
309-837-3966
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
6507763984
Enrollment ID:
I20031215000432
NPI Number:
1508850694
NPI Enumeration Date:
06 Sep, 2005
NPI Last Update On:
15 May, 2008
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Idol Ray Mitchell are as mentioned below.
License Number
Specialization
State
Status
016-004683
Podiatry
Illinois
Primary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
Mc Donough District Hospital (140089)
Macomb, IL
Acute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Idol Ray Mitchell is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Blessing Corporate Services Inc (5991616138)
140
Other Medical Identifiers:
Other legacy medical identifiers associated with Idol Ray Mitchell such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
4452210001
Other
DMERC
480034728
Other
RAILROAD MEDICARE PROV #
016004683
Medicaid
Illinois
214428
Other
Illinois
MEDICARE ID
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
437 East Grant Street, Macomb, Illinois
Zip:
61455-3352
Phone Number:
309-837-3964
Fax Number:
309-837-3966
Patients can reach Idol Ray Mitchell at 437 East Grant Street, Macomb, Illinois or can call to book an appointment on 309-837-3964. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.
Comments/ Reviews:
Similar Podiatrist in Macomb, IL
Dr. Max Ronald Rexroat, DPM Speciality: Podiatrist Address: 437 E Grant St, IL Phone: 309-837-3964 Fax: 309-837-3966