Office payments can be made by check, credit card, or HSA card. We can provide you with a copy of your office note with billable codes and diagnoses that you can submit to your insurance company fo possible reimbursement. Dr. Mitchell is no longer a Medicare provider, so Medicare will not reimburse her services.

The answer is yes; I still practice gastroenterology, but I no longer do procedures as of 4/2021. I can refer you to excellent local gastroenterologists if you need a procedure or more advanced, traditional GI care.

Some insurance companies will reimburse the patient for their out-of-pocket expenses. You can call your insurance company and provide them with Dr. Mitchell’s name and her “NPI” (physician identification number) before your appointment to get additional information.

Yes, Dr. Mitchell will provide limited prescriptions if she believes they will contribute to gut health and help improve disease.

No, you will need to have a primary care doctor who is your main doctor, especially if pharmaceutical medication maintenance and management are needed.

Dr. Mitchell is only licensed to practice medicine in the State of Colorado, and patients will have to establish care in the state of Colorado. Subsequent visits can be made by telehealth. She believes she can give the best care when she can see a patient in person and perform examinations.

Because of the costs and time involved with travel, we want the initial visit to be as comprehensive as possible. Before arrival, Dr. Mitchell will review medical records and contact the patient to discuss if additional testing may be beneficial before arrival. This may include SIBO breath testing, stool studies, labs, etc.

The appointment will be more productive if records (including the completed intake form) are sent before arrival. Records that Dr. Mitchell needs to have at the visit include a copy of any labs in the prior two years, GI procedure notes (bring the color photos), GI pathology reports, and any x-ray studies related to your visit.

Your initial office visit will be 70 to 90 minutes with Dr. Mitchell, who will review your medical history and symptoms and make recommendations with a plan. She can perform physical and rectal exams and test stool for blood if needed. She spends time educating patients on gut health as Dr. Mitchell believes that to make changes truly, she wants patients to understand why they are making diet and lifestyle changes. If time permits, she can demonstrate ideas for nutrition, smoothies, and meal plans.

In addition to yearly labs, Dr. Mitchell likes to see Vitamin D, B12, folate, ferritin (iron store), and hsCRP/Cardiac CRP (inflammation) levels. These are helpful insights into gut health.

We do not currently. Our primary goal is to provide the best advice in the initial visit and be aware of finances and what feels right for the patient.

No, you are always welcome to take the recommendations and look for products that you may find cheaper. We have primarily used the same two pharmaceutical-grade supplement companies since GutWell Medical began. I believe there are other good supplement companies, but I have not had the time to research them. The two companies that we use are still owned by their founders and do not sell on Amazon.

Several years ago, before Dr. Mitchell could bring supplements into her traditional practice, she researched two of the leading supplement companies and brought their scientific advisors to speak to my partners. The companies that use are still privately owned and are not owned by larger companies that may have competing interests. Our products are shipped directly to us and are not carried on third-party platforms, so quality is always controlled.

Dr. Mitchell is passionate about gut health and believes some patients could jump-start healing before making an office visit if desired. She also wanted to create a place where there was expertise in gut health in a store. She provides nutrition education and ideas as part of the store. Dr. Mitchell always wants to help people and hopes this will create more access to functional healing that’s more available to everyone who is willing to heal naturally.